Quality and value care reimbursement: Where is it going in the next couple of years? There has been a great deal of talk and action to move health care from volume-based to value-based reimbursement. Most notable has been the creation of the Quality Payment Program (QPP) to implement the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) and replace the Sustainable Growth Rate (SGR). The program began this year with Medicare designating 2017 as a transition year with Merit-based Incentive Payment System (MIPS) clinicians getting to “pick your pace.” For 2017, the first year, clinicians are only required to report on one measure to avoid a penalty.
The proposed rule was released on June 20, 2017, and the American Society of Nephrology (ASN) submitted its comments and recommendations in a letter on August 21. The proposed rule focused on updates in three primary areas:
Making participation easier for small (and possibly rural) practices,
Easing clinicians into reporting requirements, and
Recognizing the diversity of practices, practice settings, patients, and care models.
Here are some of the highlights from the proposed rule for 2018.