CMS Quality Payment Programs

CMS Quality Payment Programs are a key element of CMS’ effort to transform the Medicare system from a “Pay for Volume” model to “Pay for Value”. The Quality Payment Programs include Alternative Payment Models (APMs) such as ACOs and Patient Centered Medical Homes (PCMH). For physician practices not participating in an APM, the Merit-Based Incentive Payment System (MIPS) will apply. MIPS, which will be effective 1/1/2017, incorporates the legacy Meaningful Use, PQRS and Value Modifier programs.


Security Risk Analysis deadline under ACI is 12/31/2017

Security Risk Analysis deadline under ACI is 12/31/2017

The Security Risk Analysis (SRA) remains a requirement for the new Advancing Care Information (ACI) category of MIPS. A change enacted this year requires that the SRA be complete by 12/31/2017 under ACI, the Medicaid Meaningful Use program for physicians, and Hospital Meaningful Use programs. Practices who need outside help are advised to schedule their early to ensure that it is completed on time, and to avoid

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Health Care Direction under President Trump

Health Care Direction under President Trump

While most of the political attention has focused on the GOP and Trump administration’s efforts to repeal Obamacare, aging Baby Boomers continue to challenge the finances of Medicare and the entire U.S. Federal budget. After the recent passage of an Obamacare repeal bill in the House, it is likely that political attention will remain on Obamacare repeal efforts, leaving recently enacted programs affecting Medicare, MACRA and MIPS, intact. It is possible that practices who maximize their performance under MIPS could earn a big payday, as high as

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