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How to Prepare for Medicare’s New Payment Systems

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On Oct. 14, 2016, the Centers for Medicare & Medicaid Services (CMS) released the final rule with comment period to implement MACRA’s Merit-Based Incentive Payment System (MIPS) and advanced alternative payment models (APMs). Collectively, these programs are part of what CMS now calls the Quality Payment Program (QPP).

The AMA Payment Model Evaluator

The AMA Payment Model Evaluator provides you with educational resources, a brief assessment to discover where your practice stands under MACRA and actionable resources.

Physicians have the opportunity to pick their pace of participation during the 2017 QPP transition year. During the 2017 transition year, physicians only need to report 1 quality measure for 1 patient, 1 Improvement Activity or all of the required Advancing Care Information (ACI) measures to avoid a negative payment adjustment in 2019. While the performance year is 2017, physicians will not receive their payment adjustment until 2 years later.

Taking steps now to prepare for 2017 and beyond can ease the transition for your practice and position you to earn financial rewards for the high-value care your provide. As many of the requirements that are simplified during the 2017 transition year will continue and expand in future reporting years, determining how your practice can succeed in the years ahead should start now. Going forward be sure to watch for additional announcements and new detailed educational materials from the American Medical Association.

Physician Payment and Delivery Models

Read more about tools and resources for assessing and choosing payment models.

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