Here is the proposed rule for the second payment year (2020) of the Quality Payment Program (QPP) established by the Medicare Access and Children’s Health Insurance Program Reauthorization Act (MACRA) .  Since there is a two-year lag between the performance year and the payment year, these proposed changes would apply to performance year 2018, beginning January 1, 2o18.  There are many complex and detailed changes proposed for both the Merit-Based Incentive Payment System (MIPS) that would be used by most physicians and other Medicare providers, as well as the Alternative Payment Models (APMs), including what is required, how scoring is done, use of certified electronic health records, reporting through “virtual groups”, and exemptions for small physician practices.

Comments are due by August 21, 2017.

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