decisionhealth Newsletters, Part B News - 2017 Issue 7 (July)
Online only: QPP round-up: New measures, greater public exposure, APM details
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Article Overview
This piece summarizes proposed CMS changes affecting the Quality Payment Program for the 2018 reporting year. It focuses on MIPS improvement activities, Physician Compare public reporting, non-patient-facing provider provisions, facility-based measurement, and additional information about all-payer alternative payment models. The article is intended for physicians, practice leaders, and coding or reimbursement professionals tracking federal payment policy and reporting requirements.
Why This Topic Matters
The proposed updates could affect how practices report, compare performance, and plan participation in payment programs during the 2018 cycle. It is relevant for organizations that need to monitor policy changes tied to quality reporting, public transparency, and APM participation.
Article Sections
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Quality reporting program
Overview of proposed Quality Payment Program changes for the 2018 reporting year, with emphasis on MIPS-related updates and reporting structure.
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More MIPS data on Physician Compare
Discussion of expanded public reporting through Physician Compare and the types of performance information CMS proposes to display.
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Non-patient facing providers could see requirements modified
Summary of proposed adjustments for providers who have limited face-to-face patient contact, including category reweighting and assessment-period considerations.
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Facility-based measurement – quality by proxy
Coverage of the proposed facility-based measurement option for certain hospital-based clinicians and related considerations for participation.
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More details for all-payer APMs
High-level look at additional proposal details for multi-payer alternative payment models and qualifying participant timing.
What You Will Learn
- What CMS proposed for Quality Payment Program changes affecting the 2018 reporting year
- How proposed MIPS improvements and revisions may affect practice reporting
- What kinds of clinician performance information CMS proposed for public display
- Which provider groups may be affected by non-patient-facing and facility-based measurement proposals
- What the article says about additional details for all-payer alternative payment models
Who Should Read This
- Physicians
- Practice administrators
- Medical billing and reimbursement professionals
- Quality reporting staff
- Healthcare compliance teams
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