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Healthcare Industry Leaders React to Quality Payment Program Final Rule for 2018

November 3, 2017
by Heather Landi
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One day after CMS released its final rule for 2018 requirements under MACRA’s Quality Payment Program, industry leaders express a spectrum of reactions
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CMS also reports that it intends to develop a demonstration project testing the effects of counting as credit participation prior to 2019 and through 2024 in Medicare Advantage plans that meet certain criteria. In a statement released on Thursday, Blair Childs, senior vice president of public affairs at Charlotte-based Premier Inc., said he is encouraged that CMS plans to develop a demonstration project to examine how Medicare Advantage alternative payment models qualify for the threshold test and obtain the five percent MACRA bonus prior to 2021. Childs noted that nearly one-third of Medicare beneficiaries are enrolled in an MA plan. “Many MA plans have engaged providers in innovative value-based contracts that are benefiting patients and should count toward qualifying eligible professionals for the bonus in 2019. This policy would level the playing field for clinicians in areas with high MA penetration,” he said.

Regarding CMS’s efforts to reduce provider burden, Enekwechi says, “I think they’ve leaned as far as they can, while still maintaining implementation. I think that the slow ramp up in terms of scoring, basically they went from 3 points to 15 points, that’s still pretty low. I think 10 percent weight applied to the cost category is better than 0, and not as terrifying as 30 percent for MIPS eligible clinicians. They have also created multiple ways to submit data and information; you can do it through registries, you can do it through their website. This agency is doing as much as it can to try to ease burden with respect to implementation.”



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