tci Part B Insider - 2018 Issue 5

Part B Policy: Bipartisan Budget Act Slims Some MIPS Requirements

Cost category percentages could remain status quo, BBA suggests As the dust settles on Performance Year 1 of the Quality Payment Program (QPP), Part B providers are heaving a sigh of relief. And, though the calculations aren't in yet on whether Medicare's reimbursement opus was a success, the government has already decided to reduce some requirements in 2018 and beyond. Context: MACRA mandated a replacement for the Sustainable Growth Rate (SGR) system that supported value and quality care. The new QPP was initiated in 2017 under two distinct Medicare reimbursement paths - the risk-and-reward Advanced Alternative Payment Model (APM)...

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