CMS has Issued Final Rule on MACRA; Resources are Available to Help with Implementation

On Oct. 14, the Centers for Medicare & Medicaid Services (CMS) issued a final rule to implement the Medicare Access and CHIP Reauthorization Act (MACRA). The full 2,200-page document is available by clicking here.

An initial review by the American Medical Association (AMA) found that CMS responded to many of the concerns expressed by physicians about the proposed rule issued last spring.

Examples include:

  • Details are provided about the 2017 transition period announced in September. The only physicians who will experience payment penalties in 2019 are those who choose to report no performance data next year, and those who report for at least 90-days will be eligible for positive payment adjustments.
  • The low-volume threshold that exempts physicians from all performance reporting has been increased from $10,000 in annual Medicare revenue and less than 100 Medicare patients to $30,000 in revenue or 100 patients. CMS estimates that this change will exempt 32.5% of physicians and other clinicians from the program.
  • Performance reporting requirements have been further reduced, and the resource use component of the Merit-based Incentive Payment System (MIPS) has been reweighted to zero for 2017.

CMS has created a resource library, available here, that contains links to official information to help physicians prepare for success in the Quality Payment Program.

You can also click here to access the AMCNO webpage dedicated to MACRA for more information.  

The Pollen Line is now closed. See you in the spring!

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