AACU Minute - CMS Acting Administrator Andy Slavitt Reveals Plans for MACRA Performance Period Reporting Requirements

2016-09-20 | AACU Executive Office

Four options for gradual implementation of post-SGR payment program

Earlier this summer, the AACU and other groups submitted comments in opposition to an aggressive timeline for the implementation of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).  Regulations proposed May 9, 2016, do not allow enough time, it was argued, for providers to adequately prepare for new reporting requirements that may result in negative reimbursement adjustments in 2019.   In correspondence dated June 27, 2016, the AACU asked that CMS move the January 2017 start date back by one full year so that physicians would be able to appropriately plan and ready themselves.

CMS Acting Administrator Andy Slavitt, recognizing diversity within the healthcare provider community, addressed these concerns in a recent blog post outlining several options for participation in the first Quality Payment Program (MIPS; APM) performance period beginning January 1, 2017.  Choosing any of these options will exempt physicians from a negative payment adjustment in 2019.  Full details and supporting information will be provided in November’s final rule.

Summary of Reporting Options:

  • Option 1: Test the Quality Payment Program to ensure your system is working.  Submit some data to the Quality Payment Program from after January 1, 2017 and you will not receive a negative payment adjustment.
  • Option 2: Participate for part of the calendar year by choosing to submit Quality Payment Program information for a reduced number of days after January 1, 2017 and you could qualify for a small positive payment adjustment.
  • Option 3: Participate for the full calendar year and receive a modest positive payment adjustment.
  • Option 4: Join and Advanced Alternative Payment Model and possibly qualify for a 5 percent incentive payment in 2019.

As advocates for Urology, the AACU will continue to opine and challenge CMS regarding the implementation of MACRA.

Read Administrator Slavitt's "Pick Your Pace" blog post.