tci Medicare Compliance & Reimbursement - 2016 Issue 10

MACRA: HHS Introduces Two Different Payment Models

Industry expects changes will usher in a new era of excellence and innovation in medicine. The Department of Health and Human Services (HHS) unveiled the framework for Medicare’s new payment system, the “Quality Payment Program,” in a proposed ruling on April 27. Many concepts from programs like the Physician Quality Reporting System, the Value Modifier Program, and the Medicare Electronic Health Record (EHR) Incentive Program have been revised and adapted to comprise the initiative. “The existing Medicare pay-for-performance programs are burdensome, meaningless and punitive,” said Stephen J. Stack, MD, president of the American MedicalAssociation...

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