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Year One Participation in the Quality Payment Program Exceeded

June 01, 2018

The Centers for Medicare & Medicaid Services (CMS) announced that it exceeded its goal for year one participation in the Quality Payment Program (QPP), the physician payment model required by the Medicare Access and CHIP Reauthorization Act of 2015, with 91 percent of all clinicians eligible for the Merit-based Incentive Payment System submitting their data for measurement.

The program—which transitions providers from Medicare payments based on volume to payments based on value—initially began measurement during 2017 for payment beginning during 2019.

In the CMS blog, Administrator Seema Verma reiterated CMS’ commitment to continue removing regulatory barriers through its Patients over Paperwork initiative. Efforts outlined by the Administrator to reduce burden and add flexibility include:

  • A reduction in the number of clinicians that are required to participate
  • New bonus points for clinicians who are in small practices, treat complex patients, or use 2015 Edition Certified Electronic Health Record Technology
  • Increased opportunity for clinicians to earn a positive payment adjustment
  • Continued free technical assistance

Efforts by CMS to reduce burden, improve flexibility, and focus on interoperability have continued in the recently released fiscal year 2019 Inpatient Prospective Payment System (IPPS) proposed rule with the overhaul of the Medicare and Medicaid Electronic Health Record Incentive Programs. Changes include removing measures that no longer are meaningful and de-duplicating measures across programs.

HAP currently is analyzing the proposed rule and beginning to develop comments. 

Please contact Kate Slatt, HAP’s senior director, innovative payment and care delivery, with questions or comments regarding the QPP or the recently released IPPS proposed rule.

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