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Quality Payment Program Final Rule Issued

On October 14, the Centers for Medicare & Medicaid Services issued a final rule with comment period implementing key provisions of the new physician payment system required by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). MACRA, which repealed the Medicare sustainable growth rate (SGR) methodology and required the establishment of a new physician quality and value-based payment program. The new program, the Quality Payment Program (QPP), begins calendar year 2019. The regulation establishes rules for clinician participation in the Merit-Based Incentive Payment System (MIPS). It also details how clinicians can qualify for incentive payments based on participation in Advanced Alternative Payment Models (APMs).  The rule also finalizes policies related to blocking of health information and electronic health record (EHR) surveillance that apply to all hospitals, critical access hospitals, and physicians.

For further details, go to https://qpp.cms.gov/docs/CMS-5517-FC.pdf

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