The President’s Executive Order, issued in conjunction with the Advancing American Kidney Health Initiative, calls for new payment models for kidney physicians. Here’s a brief rundown of how the Centers for Medicare and Medicaid Innovation propose they would work.
Today, the Centers for Medicare and Medicaid Services (CMS) released finalized 2017 performance data for the Quality Payment Program (QPP) that will be used to determine clinician reimbursement adjustments for calendar year 2019 – the first year for adjusted payments under the new program. CMS announced the preliminary data earlier this year, and now it is claiming “significant success and participation in both the Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Model (APM) tracks” with the release of the finalized data.
Status Tool for 2017 Qualifying APM Participant and MIPS APMs DataNow Available
If you participate in the Merit-based Incentive Payment System (MIPS), you should have reviewed your 2017 performance feedback by now. The 2017 MIPS performance feedback, reflecting activities in performance year one of the QPP (2017), indicates if you will receive a negative, neutral, or positive payment adjustment in 2019. If you believe an error has been made in your 2019 MIPS payment adjustment calculation, you can request a targeted review until October 1, 2018. The following are examples of circumstances in which you may request a targeted review:
Ongoing efforts at the American Society of Nephrology (ASN) to develop a Comprehensive Kidney Care (CKC) Model received a boost last week after Senator Bill Cassidy, MD (R-LA), met with Crystal A. Gadegbeku[i], MD, FASN, and Daniel E. Weiner[ii], MD, FASN, co-chairs of a joint working group leading development of the model.
The Centers for Medicare & Medicaid Services (CMS) updated its Quality Payment Program Look-Up Tool, yesterday on June 14th, to allow clinicians to view 2018 Merit-based Incentive Payment System (MIPS) eligibility and Alternative Payment Model (APM) Qualifying APM Participant (QP) data—in one place. Additionally, the look-up tool name was changed from the MIPS Participation Status Tool to the Quality Payment Program Participation Status Tool to reflect the changes CMS made.