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MACRA

MACRA 

The Merit-Based Incentive Payment System (MIPS) & Alternative Payment Models (APMs)

 

MIPS Timeline

MIPS CONSOLIDATES AND STREAMLINES STANDALONE QUALITY INITIATIVES FOR MEDICARE PART B HEALTHCARE PROVIDERS

 

Proposed MIPS Payment Schedule

PERFORMANCE YEAR ADJUSTMENT YEAR** POSITIVE ADJUSTMENT NEGATIVE ADJUSTMENT
2017 2019  +4%  -4%
2018 2020  +5%  -5%
2019 2021  +7%  -7%
2020 2022  +9%  -9%

**Adjustment year indicates the year the provider can expect to see an increase or decrease in payment.

NOTICE: On September 8, 2016, CMS' Acting Administrator, Andy Slavitt, acknowledged the concerns expressed regarding
the start date of January 1, 2017 and provided three options for those choosing to participate in MIPS. These include:

1. TEST MIPS
participate by submitting some data
during 2017 to avoid penalties,
2. PARTICIPATE FOR PART
OF THE CALENDAR YEAR
submit data for less than the full calendar
year (2017) to qualify to receive a small
positive payment adjustment, or
3. PARTICIPATE FOR THE
FULL CALENDAR YEAR
submit data for the entire calendar
year (2017) to qualify for a modest
payment adjustment.

 

SOURCE: https://blog.cms.gov/2016/09/08/qualitypaymentprogram-pickyourpace/

QUALITY INITIATIVE KEY


VM: Value-Based Payment Modifier

PQRS: Physician Quality Reporting System

MU: Meaningful Use

EHR: Electronic Health Record

MSSP: Medicare Shared Savings Program

PQRS: Physician Quality Reporting System

MU: Comprehensive Primary Care Plus

 

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