MACRA: Prepare Now for Possible MIPS Low-Volume Threshold Changes in 2018 and Beyond

Why This Topic Matters

The proposed changes could affect which clinicians must report under MIPS, how small or low-volume practices are treated, and how future participation options may be structured. Understanding the proposal helps practices anticipate compliance and reimbursement impacts without relying on year-old assumptions.

Article Sections

1. Background and proposed rule context

   Introduces the CMS proposed rule for the next program year and summarizes the general themes of the update. It places the discussion in the broader transition from older Medicare payment policy to the Quality Payment Program.

2. Name change note

   Explains a terminology update used by CMS to distinguish the program year. The section frames how CMS is labeling the next stage of the program.

3. Are You Subject to MIPS Reporting?

   Discusses participation and exemption questions under MIPS for the transition year and the proposed next-year changes. It focuses on low-volume threshold concepts for Medicare Part B clinicians.

4. Mixed reviews

   Summarizes reactions and concerns raised about the proposed threshold changes. The section also reflects on potential effects for clinicians and practices near the eligibility boundary.

5. The positive

   Covers commentary on CMS responsiveness and the expected impact on smaller and underserved provider groups. It addresses how the proposal may affect participation levels and overall program reach.

6. Note These New Developments

   Outlines additional proposed developments for future performance years, including possible changes to participation options and threshold structure. The section also touches on longer-term program goals.