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Some Good News in MACRA’s Proposed Rule for 2018 Performance Year
Posted on: 7/5/2017

The Centers for Medicare and Medicaid Services (CMS) addressed many concerns identified by physician organizations – particularly doctors in small practices.

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CMS recently unveiled the highly anticipated Quality Payment Program (QPP) proposed rule for 2018, which determines payment adjustments for 2020. The proposed rule supports another transition year and numerous accommodations to help small practices. Among the provisions:  

  • Significantly expands the low-volume threshold. Exempts practices with $90,000 (previously $30,000) or less in Medicare Part B allowed charges OR 200 (previously 100) or fewer Medicare Part B patients from participating in the Merit-based Incentive Payment System (MIPS).   
  • Outlines the process for implementing "Virtual Groups," which allows small practices to join together for QPP reporting.
  • Adds five bonus points to the final MIPS scores for practices of 15 or fewer clinicians.
  • Adds a hardship exception from the Advancing Care Information (previously Meaningful Use) category for practices of 15 or fewer clinicians. 

Please note: This proposed rule will not be finalized until later this year – sometime in October or November. CMS could make additional changes to the 2018 QPP program rules.

Keep in mind that the current "pick your pace" rules are still in place for 2017.


To learn more about MACRA in general, visit ISMS' comprehensive web page.

Need help with MACRA? You don't have to go it alone. We can help. Contact the ISMS Division of Advocacy at 800-782-4767 ext. 1470, or by email.



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