QPP final rule roundup: Check out changes that could affect your penalty or bonus

Why This Topic Matters

The rule includes program updates that can affect performance scores, participation status, and whether results are publicly reported. It is relevant to organizations that track Medicare quality-payment requirements and want to understand upcoming changes to reporting and scoring policy.

Article Sections

1. Quality Payment Program: Round-up

   Introduces the scope of the article and the main 2018 Quality Payment Program topics covered in the final rule.

2. Public reporting and Physician Compare

   Discusses CMS plans for displaying QPP and MIPS information publicly, including reporting categories and related review considerations.

3. Facility-based scoring

   Summarizes changes related to facility-based participation and how CMS plans to handle scoring and attribution timing.

4. Complex patient bonus

   Covers the planned adjustment related to care for more complex Medicare patients and the general basis for the bonus.

5. Improvement activities

   Reviews updates to the improvement activities inventory, including additions, revisions, and subcategory changes.

6. Medical home scoring

   Explains the clarification affecting automatic scoring for recognized patient-centered medical homes under a single TIN.

7. All-Payer Combination Option

   Describes the expansion path for other-payer advanced APM participation and the timing of the new option.

8. Extreme and uncontrollable circumstance policy

   Summarizes disaster-related reporting relief and how CMS addressed affected clinicians for the performance year.