April 29, 2016

By Daniel Spirn, Regulatory Counsel

Proposal Would Fundamentally Change Existing Quality Programs

On Wednesday, April 27, the Centers for Medicare & Medicaid Services (CMS) released its proposed rule that links Medicare provider payments to quality patient care. This is the first major step taken by the government to implement the Medicare Access and CHIP Reauthorization Act of 2015, also known as MACRA. The AAN is reviewing the proposal and will submit comments to CMS by the June 27, 2016, deadline. The final rule will be released in November.

The proposed changes to Medicare physician payment are some of the biggest reforms to neurologic reimbursement in years. Important details about this proposal include:

  • The creation of a new “Quality Payment Program” that replaces current reporting programs
  • Establishment of a two-track system for Medicare reimbursement: the Merit-based Incentive Payment System (MIPS), for neurologists who are reimbursed through fee-for-service, and an alternative payment model (APM) option
  • CMS will sunset its Meaningful Use electronic health record program, replacing it with the new Advancing Care Information program.

 The AAN has a variety of resources to help you prepare for these changes. Remember to sign up for the May 11 webinar, “Merit, Incentives, Use, and Quality: The Alphabet Soup of Value-Based Care,” to learn more about the changing landscape and how it affects your practice. If you have questions, feel free to email us.