Every summer, the Centers for Medicare & Medicaid Services (CMS) propose rules that govern physician reimbursement, the Medicare End-Stage Renal Disease (ESRD) program, and the newer Quality Payment Program (QPP), which is entering its third year in calendar year 2019. This summer has been no exception, with some proposed changes that benignly refine programs around the edges, and others that mark significant changes in course.
In July 2018, CMS released the ESRD PPS and QIP proposed rules. In what is expected to be a permanent change, the proposed rule for the first time combines the QPP and the Physician Fee Schedule (PFS).
The American Society of Nephrology (ASN) Quality Committee and ASN Council each year review and comment on these recommendations as they relate to nephrology and best practices in medicine. The committee and Council are currently reviewing the 2000 pages of proposed regulations, some of which are far-reaching in nature, in advance of the deadline for comment submission on September 10, 2018.
Following are highlights of the proposed changes.
To read more about the QPP/PFS proposed rule, visit the ASN website at https://www.asn-online.org/policy/webdocs/QPP_PFS_Proposed_rule_2018-14985.pdf
To read more about the ESRD PPS QIP proposed rule, visit the ASN website at https://www.asn-online.org/policy/webdocs/2019_Proposed_Rule_Highlights.pdf