MACRA’s Quality Payment Program and the “Goldilocks Problem” in Federal Healthcare Policy

Are CMS officials hitting the right levels of incentives under MACRA’s Quality Payment Program? 

June 23, 2017 – Officials at the federal Centers for Medicare and Medicaid Services (CMS) on Tuesday afternoon released the proposed rule for 2018 with requirements for providers under what will be the second year of the Quality Payment Program (QPP) under the MACRA (Medicare Access and CHIP Reauthorization Act of 2015) law. The proposed rule, at 1,058 pages in length, is the first major update to MACRA since January, when a new presidential administration was put in place, while the MACRA final rule concretely launching the program had released in October, just a few months before the first reporting year of the QPP—inclusive of two payment paths that eligible Medicare-participating physicians could partake in—MIPS (the Merit-based Incentive Payment System) and the advanced alternative payment models (APM) track—was set to begin in January 2017.

Using the Goldilocks analogy for continuing to try different options, Healthcare Informatics explores the evolution of the rule and if CMS has the mix of participation options “just right.” To read the full Healthcare Informatics article, please click here