BC Advantage - 2017 Issue 6
June and the QPP
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Article Overview
This article summarizes recent activity affecting nephrology providers participating in CMS payment and quality programs. It discusses a June meeting involving ESCO and Next Gen ACO participants, reviews proposed 2018 Quality Payment Program changes, and highlights broad areas such as MIPS, Advanced APM/Qualifying Participant status, quality measure updates, Advancing Care Information, and risk-adjustment concepts. The piece is aimed at clinicians and administrators who want a high-level view of how proposed policy changes may affect participation and reporting under the QPP.
Why This Topic Matters
The article helps nephrology stakeholders understand the direction of CMS policy changes that may influence participation, reporting burden, and performance under the QPP. It is relevant for practices trying to anticipate program changes and assess whether proposed updates could affect their reimbursement and quality reporting strategy.
Article Sections
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ESCO News
Covers a June face-to-face meeting involving CMS Innovation Center participants and summarizes program participation and population-level context for ESCOs and related ACO models.
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QP status
Discusses Qualifying Participant status in the context of Advanced APM participation and how the program relates to MIPS avoidance and payment implications.
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QPP in 2018
Reviews proposed 2018 Quality Payment Program changes, including MIPS category structure, proposed nephrology-focused quality measurement changes, Advancing Care Information updates, and risk-adjustment considerations.
What You Will Learn
- How the article frames recent CMS activity affecting nephrology-oriented payment models.
- What broad QPP topics are highlighted in the proposed 2018 updates.
- Which program areas are emphasized for clinicians participating in MIPS or Advanced APMs.
- Why nephrology providers are being singled out in the discussion of complexity and quality measurement.
Who Should Read This
- Nephrologists
- Nephrology practice administrators
- Medical coders and billing staff supporting nephrology practices
- Quality reporting and compliance staff
- Healthcare policy readers interested in CMS payment programs
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