CMS limits medical home risk standard, requires more sites participate to gain bonus

Why This Topic Matters

These QPP policy changes can alter how practices structure participation, measure eligibility, and plan for future reporting years. Understanding the updated medical home standards helps organizations assess whether they are positioned to qualify under the newer framework.

Article Sections

1. Quality Payment Program and medical home participation updates

   Overview of the 2018 QPP final rule changes affecting medical home participation and reporting under alternative payment model pathways.

2. Financial risk standards for medical homes

   Discussion of how CMS distinguishes medical homes by organizational size and how the financial risk framework is addressed for different participant groups.

3. Group reporting and site participation threshold

   Explanation of how group-level reporting is evaluated across practice sites and how the participation threshold changed from the prior performance year.

4. CMS broadens the PCMH definition

   Summary of the updated recognition terminology and the general types of accrediting or recognition programs involved.