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Medicare proposes 2018 MIPS and APM changes

June 20, 2017

The Centers for Medicare & Medicaid Services (CMS) released the proposed rule changing the Merit-Based Incentive Payment System (MIPS) and alternative payment models (APMs) participation options and requirements for 2018. Key provisions of the proposed rule would:

• Establish MIPS reporting requirements for 2018;
• Delay the previously-finalized 2018 requirement to upgrade 2014 Certified EHR Technology to the 2015 edition;
• Increase the low-volume threshold;
• Delay implementation of the cost component of MIPS;
• Incorporate the option to use facility-based scoring for facility-based clinicians;
• Offer the virtual group option for solo and small practices to aggregate their data for a shared MIPS evaluation; and
• Outline criteria for qualification as a participant in an all-payer APM, beginning in 2019.

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