Quality Payment Program: Implementation in 2018 and Beyond
On Nov. 2, 2017, the Centers for Medicare and Medicaid Services (CMS) released its final rule on the 2018 Quality Payment Program (QPP) established under the MACRA (Medicare Access and CHIP Reauthorization Act of 2015). In this rule CMS describes changes to policies for implementation of the second transition year for the Merit-Based Incentives Payment System (MIPS) and for Advanced Alternative Payment Models (APMs).
The final rule includes policies designed to provide clinicians with a smoother transition to the QPP, including reducing the burden on small and rural practices and introducing the ability of radiologists and other clinicians to create virtual groups. It also provides additional detail on clinician participation in APMs.
Resources to Guide You
There is a wealth of resources available to help you understand the requirements and implications of Year 2 of the QPP and beyond:
ACR Highlights of Year 2 QPP Changes »
ACR Preliminary Summary of 2018 MPFS Final Rule »
ACR Comprehensive Summary of QPP Final Rule »
Download the 2018 Virtual Group Toolkit
CMS QPP Final Rule Overview
Download the Complete QPP Final Rule With Year 1 to Year 2 Comparison
DICOE Approved as Improvement Activity
Under the Final Rule Year 2 for the QPP, radiology practices participating in the MIPS component can earn medium-weight Improvement Activity (IA) credit for achieving the ACR Diagnostic Imaging Center of Excellence (DICOE) designation. CMS formally approved that DICOE participation can earn credit for “Measurement and Improvement at the Practice and Panel Level” (IA_PSPA_18).
Under MIPS, non-patient-facing physicians (i.e., most radiologists) are required to earn two medium-weighted IAs as part of the MIPS requirements in order to avoid downward payment adjustments and potentially receive upward adjustments.