MACRA Year 2 for MIPS and APMs
MACRA Year 2 – What’s Changed … and What Hasn’tWhen the final rule for the Medicare Access and CHIP Reauthorization Act (MACRA) was released in October 2016, it established two payment pathways for physicians for Medicare reimbursement. In the second of this two-part post (see the first post – QPP Year 2 – what’s changed … and what hasn’t) we look at what Year 2 will entail for MIPS and APMs. One of the most frequent complaints from patients – and providers – is that physicians are so overwhelmed by technology and paperwork that they do not have sufficient time to spend with patients. A new initiative integrated into Year 2 of the Quality Payment Program (QPP), “Patients over Paperwork,” is labeled as a collaborative process that evaluates and streamlines regulations to reduce unnecessary burden, increase efficiencies, and improve the beneficiary experience. This effort to reduce the burden of paperwork, especially for small practices, is at the heart of several Year 2 changes. These include:
- Excluding individual MIPS eligible clinicians or groups with less than or equal to $90,000 in Part B allowed charges or less than or equal to 200 Part B beneficiaries;
- Adding more flexibility on the use of certified EHRs;
- Including virtual groups as another participation option for performance year 2; and
- Making it easier for clinicians to qualify for incentive payments by participating in Advanced APMs that begin or end in the middle of a year.