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09/09/2020

Provide Your Comments on How Medicare Measures Quality of Care

 


CMS is taking feedback on proposed changes to the Quality Payment Program

The Centers for Medicare & Medicaid Services (CMS) released its proposed policies for the 2021 performance year of the Quality Payment Program via the Medicare Physician Fee Schedule (PFS) Notice of Proposed Rulemaking (NPRM).

CMS is seeking comments from physician practices on these proposed rules. Comments are due no later than 5 p.m. EDT, on Monday, October 5. This is your chance to provide feedback on how quality will be measured in the future. Visit this page to submit comments:

https://www.federalregister.gov/documents/2020/08/17/2020-17127/medicare-program-cy-2021-payment-policies-under-the-physician-fee-schedule-and-other-changes-to-part


Key proposals for the Quality Payment Program include:

  • Increasing the complex patient bonus to a 10-point maximum for the 2020 performance year due to COVID-19
  • Postponing the implementation of the Merit-based Incentive Payment System (MIPS) Value Pathways (MVPs) until 2022 instead of 2021
  • Introducing the Alternative Payment Model (APM) Performance Pathway (APP) for participants in MIPS APMs beginning in 2021
  • Increasing the performance threshold to 50 points for the 2021 performance year (10 points less than the 60-point threshold finalized for 2021 in the CY 2020 PFS Rule)
  • Decreasing the performance category weight for Quality to 40% and increasing Cost to 20%
  • Removing the CMS Web Interface as collection and submission types for reporting MIPS quality measures beginning with the 2021 performance period
  • Sunsetting the APM Scoring Standard and allowing MIPS eligible clinicians to participate in MIPS under an APM Entity beginning in 2021

For More Detailed Information on the Proposal

  • Fact Sheet – Offers an overview of the QPP proposed policies for 2021 and compares these policies to the current 2020 requirements
  • Webinar Recording – Details the QPP proposed policies for 2021, answers questions from webinar attendees, and shares information on how to comment
  • QPP COVID-19 Response Webpage – Shares information on the proposed complex patient bonus change and other flexibilities implemented in response to the public health emergency

 

 



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