CMS MIPS/APM Proposed Rule

Why This Topic Matters

The proposed rule marked a major shift in Medicare physician payment policy and affected how performance, participation, and reimbursement were expected to be measured. For radiology groups, understanding the structure of the new CMS framework and the ACR’s commentary helped with planning and compliance readiness.

Article Sections

1. CMS MIPS/APM Proposed Rule

   Introduces the CMS proposed rule and the MACRA-related payment framework it was designed to implement. Mentions the radiology-specific perspective and the ACR’s review of the proposal.

2. MACRA and the New Reimbursement Framework

   Summarizes the legislative background and the broader shift away from the prior Medicare payment approach. Describes the general timing of participation options under the new framework.

3. MIPS Overview

   Describes the structure of the MIPS pathway and the CMS quality programs it consolidates. Explains that physician performance is combined into a composite measure used in the payment process.

4. APMs Overview

   Covers the alternative payment model pathway and the general types of risk-based models referenced by the article. Notes the relationship between APM participation and MIPS exemption at a high level.

5. ACR Resources and Additional Information

   Highlights the ACR’s response, blog reference, and links to additional resources. Points readers to where more information on the proposed rule and fact sheet could be found.