Medicare reimbursement undergoing big changes
On April 27, 2016, CMS issued a Notice of Proposed Rulemaking (NPRM) to put in place key parts of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). This bipartisan legislation replaces the flawed Sustainable Growth Rage formula by paying clinicians for the value and quality of care they provide. This proposed rule will make changes through a single framework called the “Quality Payment Program”. The rule is expected to be finalized sometime this fall; however, in the proposed rule CMS has indicated a 2-year look back period, which means your performance in 2017 will determine your reimbursement in 2019 when the program is set to begin. To ensure our members have the information and resources to make this transition we have provided information below.
CMS Quality Payment Program
CMS Proposed Rule Executive Summary
AMA Medicare Payment Reform website
Here you’ll find information about the MACRA law, a checklist to prepare, and information to help you understand MIPS and APMS.
Practice Transformation Network
The PTN offers free resources to Kansas clinicians through the Compass Practice Transformation Network, led by the Kansas Healthcare Collaborative.
Contact Ruth Cornwall, KMS Director of Health Care Finance with any questions or concerns.