The Quality Payment Program Proposed Rule Has Arrived

CMS Quality Payment Program Proposed Rule Year 2:
MIPS Changes and How They May Affect You

The CMS Quality Payment Program (QPP) Year 2 proposed rule was released June 20 and will be open for public comment until August 21. To review the unpublished proposed rule, visit the Federal Register website.

Don’t want to read the 1,058 page document?

We have dissected the changes to the Merit-based Incentive Payment System (MIPS) and will provide an overview with explanation of what these change may mean to eligible clinicians (ECs) and groups below. As a reminder, these are currently proposed changes and may not become part of the Quality Payment Program Year 2 Final Rule.

APMs Proposed Rule Overview

Be sure to watch for our second proposed rule overview, which will review changes to Alternative Payment Models (APMs) and provide similar comment on what these changes may mean for organizations and ECs.

General Programmatic Changes

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The performance threshold may increase to 15 points
An increase to the low-volume threshold exclusion criteria
Able to continue utilizing 2014 certified electronic health record (EHR) technology
Small practices & solo practitioners eligible for bonus of 5 points
Flexibility to submit data to CMS via multiple submission methods
Virtual group participation option
ECs that care for complex patients may earn up to 3 bonus points
Demonstrate performance improvement and earn up to a 10 percentage point bonus
ECs in ASCs, HHAs, HOPDs may be included in MIPS
Performance Category Changes

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Quality will remain 60% of MIPS score in 2018
Advancing Care Information will remain 25% of MIPS score in 2018
21st Century Cares Act
Improvement Activities will remain 15% of MIPS score in 2018
Cost may remain at 0% of the MIPS score in 2018
Feedback Reports

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Feedback reports may become available at least annually

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