decisionhealth Newsletters, Coder Pink Sheets - 2017 Issue 7 (July)
Quality reporting: CMS proposes higher MIPS threshold for 2018 but gives small practices a break
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Article Overview
This article explains proposed CMS changes to the Quality Payment Program for the 2018 performance year, with emphasis on how MIPS scoring, category weights, reporting periods, and participation pathways may change. It is relevant to physicians, small group practices, and quality reporting staff who need to understand proposed Medicare incentive program requirements and potential exclusions before the rule is finalized.
Why This Topic Matters
The proposal could affect whether clinicians must report, how much reporting is needed to avoid penalties, and which practices may qualify for relief or alternative participation options. It also outlines broader changes that influence quality reporting strategy and compliance planning for the Medicare program.
Article Sections
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Small practice boost
Discusses proposed relief for smaller practices under the Medicare quality payment program, including low-volume exclusion changes and related participation flexibility.
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Points for improvement
Covers proposed scoring incentives tied to performance improvement and how those incentives may affect reporting strategy.
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Measures mostly the same
Summarizes proposed changes and non-changes across the main MIPS performance categories, reporting periods, and certified EHR technology requirements.
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More notable proposed QPP provisions
Reviews additional proposed program updates affecting category weighting, cost measurement, virtual groups, and advanced alternative payment model participation.
What You Will Learn
- How proposed QPP changes may affect MIPS participation and scoring
- Which broad categories of reporting are addressed in the proposed rule
- What kinds of relief and flexibility are being proposed for small practices
- How reporting periods and participation options may differ under the proposal
- Which Medicare payment program features are being updated for future performance years
Who Should Read This
- Physicians and clinicians participating in Medicare quality programs
- Small medical practices
- Practice administrators
- Quality reporting staff
- Medical coders and compliance teams supporting value-based reporting
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