Federal Register. Medicare Program; Merit- Based Incentive Payment System (MIPS) and Alternative Payment Model (APM) Incentive Under the Physician Fee Schedule, and Criteria for Physician- Focused Payment Models. Start Preamble. Start Printed Page 7. AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS. ACTION: Final rule with comment period. SUMMARY: The Medicare Access and CHIP Reauthorization Act of 2. MACRA) repeals the Medicare sustainable growth rate (SGR) methodology for updates to the physician fee schedule (PFS) and replaces it with a new approach to payment called the Quality Payment Program that rewards the delivery of high- quality patient care through two avenues: Advanced Alternative Payment Models (Advanced APMs) and the Merit- based Incentive Payment System (MIPS) for eligible clinicians or groups under the PFS. This final rule with comment period establishes incentives for participation in certain alternative payment models (APMs) and includes the criteria for use by the Physician- Focused Payment Model Technical Advisory Committee (PTAC) in making comments and recommendations on physician- focused payment models (PFPMs). Alternative Payment Models are payment approaches, developed in partnership with the clinician community, that provide added incentives to deliver high- quality and cost- efficient care. APMs can apply to a specific clinical condition, a care episode, or a population. This final rule with comment period also establishes the MIPS, a new program for certain Medicare- enrolled practitioners. Start studying Questions missed the first time. Learn vocabulary, terms, and more with flashcards, games, and other study tools.2 www.cengageasia.com Accounting Accounting informAtion SyStemS Accounting informAtion SyStemS, 9e foundations in enterprise risk management, international edition. Search settings; Web History : Advanced search Language tools. ![]() MIPS will consolidate components of three existing programs, the Physician Quality Reporting System (PQRS), the Physician Value- based Payment Modifier (VM), and the Medicare Electronic Health Record (EHR) Incentive Program for Eligible Professionals (EPs), and will continue the focus on quality, cost, and use of certified EHR technology (CEHRT) in a cohesive program that avoids redundancies. In this final rule with comment period we have rebranded key terminology based on feedback from stakeholders, with the goal of selecting terms that will be more easily identified and understood by our stakeholders. DATES: Effective date: The provisions of this final rule with comment period are effective on January 1, 2. Comment date: To be assured consideration, comments must be received at one of the addresses provided below, no later than 5 p. Because of staff and resource limitations, we cannot accept comments by facsimile (FAX) transmission. You may submit comments in one of four ways (please choose only one of the ways listed): 1. Electronically. You may submit electronic comments on this regulation to http: //www. Follow the “Submit a comment” instructions. By regular mail. You may mail written comments to the following address ONLY: Centers for Medicare & Medicaid Services, Department of Health and Human Services, Attention: CMS- 5. FC, P. O. Box 8. 01. Baltimore, MD 2. 12. Please allow sufficient time for mailed comments to be received before the close of the comment period. By express or overnight mail. You may send written comments to the following address ONLY: Centers for Medicare & Medicaid Services, Department of Health and Human Services, Attention: CMS- 5. FC, Mail Stop C4- 2. Security Boulevard, Baltimore, MD 2. By hand or courier. Alternatively, you may deliver (by hand or courier) your written comments ONLY to the following addresses prior to the close of the comment period: a. For delivery in Washington, DC—Centers for Medicare & Medicaid Services, Department of Health and Human Services, Room 4. G, Hubert H. Humphrey Building, 2. Independence Avenue SW., Washington, DC 2. Because access to the interior of the Hubert H. Humphrey Building is not readily available to persons without Federal government identification, commenters are encouraged to leave their comments in the CMS drop slots located in the main lobby of the building. A stamp- in clock is available for persons wishing to retain a proof of filing by stamping in and retaining an extra copy of the comments being filed.)b. For delivery in Baltimore, MD—Centers for Medicare & Medicaid Services, Department of Health and Human Services, 7. Security Boulevard, Baltimore, MD 2. If you intend to deliver your comments to the Baltimore address, call telephone number (4. Comments erroneously mailed to the addresses indicated as appropriate for hand or courier delivery may be delayed and received after the comment period. For information on viewing public comments, see the beginning of the SUPPLEMENTARY INFORMATION section. Start Further Info. FOR FURTHER INFORMATION CONTACT: Molly Mac. Harris, (4. 10) 7. MIPS. Sharp, (4. 10) 7. APMs. End Further Info. End Preamble. Start Supplemental Information. SUPPLEMENTARY INFORMATION: Table of Contents. I. Executive Summary. II. Provisions of the Proposed Regulations and Analysis of and Responses to Comments. A. Establishing MIPS and the Advanced APM Incentive. B. Program Principles and Goals. C. Changes to Existing Programs. D. Definitions. E. MIPS Program Details. F. Overview of Incentives for Participation in Advanced Alternative Payment Models. III. Collection of Information Requirements. IV. Regulatory Impact Analysis. A. Statement of Need. B. Overall Impact. C. Changes in Medicare Payments. D. Impact on Beneficiaries. E. Impact on Other Health Care Programs and Providers. F. Alternatives Considered. G. Assumptions and Limitations. H. Accounting Statement. Acronyms. Because of the many terms to which we refer by acronym in this rule, we are listing the acronyms used and their corresponding meanings in alphabetical order below: ABCTM Achievable Benchmark of Care. ACO Accountable Care Organization. APM Alternative Payment Model. APRN Advanced Practice Registered Nurse. ASPE HHS' Office of the Assistant Secretary for Planning and Evaluation. BPCI Bundled Payments for Care Improvement. CAH Critical Access Hospital. CAHPS Consumer Assessment of Healthcare Providers and Systems. CBSA Non- Core Based Statistical Area. CDS Clinical Decision Support. CEHRT Certified EHR technology. CFR Code of Federal Regulations. CHIP Children's Health Insurance Program. CJR Comprehensive Care for Joint Replacement. CMMI Center for Medicare & Medicaid Innovation (CMS Innovation Center)COI Collection of Information. Start Printed Page 7. CPIA Clinical Practice Improvement Activity. CPOE Computerized Provider Order Entry. CPR Customary, Prevailing, and Reasonable. CPS Composite Performance Score. CPT Current Procedural Terminology. CQM Clinical Quality Measure. CY Calendar Yeare. CQM electronic Clinician Quality Measure. ED Emergency Department. EHR Electronic Health Record. EP Eligible Professional. ESRD End- Stage Renal Disease. FFS Fee- for- Service. FR Federal Register. FQHC Federally Qualified Health Center. GAO Government Accountability Office. HIE Health Information Exchange. HIPAA Health Insurance Portability and Accountability Act of 1. HITECH Health Information Technology for Economic and Clinical Health. HPSA Health Professional Shortage Area. HHS Department of Health & Human Services. HRSA Health Resources and Services Administration. IHS Indian Health Service. IT Information Technology. LDO Large Dialysis Organization. MACRA Medicare Access and CHIP Reauthorization Act of 2. MEI Medicare Economic Index. MIPAA Medicare Improvements for Patients and Providers Act of 2. MIPS Merit- based Incentive Payment System. MLR Minimum Loss Rate. MSPB Medicare Spending per Beneficiary. MSR Minimum Savings Rate. MUA Medically Underserved Area. NPI National Provider Identifier. OCM Oncology Care Model. ONC Office of the National Coordinator for Health Information Technology. PECOS Medicare Provider Enrollment, Chain, and Ownership System. PFPMs Physician- Focused Payment Models. PFS Physician Fee Schedule. PHS Public Health Service. PQRS Physician Quality Reporting System. PTAC Physician- Focused Payment Model Technical Advisory Committee. QCDR Qualified Clinical Data Registry. QP Qualifying APM Participant. QRDA Quality Reporting Document Architecture. QRUR Quality and Cost Reports. RBRVS Resource- Based Relative Value Scale. RFI Request for Information. RHC Rural Health Clinic. RIA Regulatory Impact Analysis. RVU Relative Value Unit. SGR Sustainable Growth Rate. TCPI Transforming Clinical Practice Initiative. TIN Tax Identification Number. VM Value- Based Payment Modifier. VPS Volume Performance Standard. I. Executive Summary. Overview. The Medicare Access and CHIP Reauthorization Act of 2. MACRA) (Pub. 1. 14- 1. April 1. 6, 2. 01. XVIII of the Social Security Act (the Act) to repeal the Medicare sustainable growth rate, to reauthorize the Children's Health Insurance Program, and to strengthen Medicare access by improving physician and other clinician payments and making other improvements. This rule finalizes policies to improve physician and other clinician payments by changing the way Medicare incorporates quality measurement into payments and by developing new policies to address and incentivize participation in Alternative Payment Models (APMs). These unified policies to promote greater value within the healthcare system are referred to as the Quality Payment Program. The MACRA, landmark bipartisan legislation, advances a forward- looking, coordinated framework for health care providers to successfully take part in the CMS Quality Payment Program that rewards value and outcomes in one of two ways: Advanced Alternative Payment Models (Advanced APMs). Merit- based Incentive Payment System (MIPS). The MACRA marks a milestone in efforts to improve and reform the health care system. Building off of the successful coverage expansions and improvements to access under the Patient Protection and Affordable Care Act (Affordable Care Act), the MACRA puts an increased focus on the quality and value of care delivered.
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Home > 2017 > May Thursday Jennifer Garner looks chic in pinstripe dress as she heads to The Late Show to see her old friend Stephen Colbert. Alonso did have a spectacular race, and simply fell victim to his engine late in the race. The crowd gave the Spaniard a standing ovation as he climbed from his car.“I felt the noise, the engine friction, I backed off and I saw the smoke and, yeah, it’s a shame,” Alonso said. Hunter- Reay had led 2. Sato also had to hold off Castroneves in the closing laps. Race Car Driver Michael Andretti TwinsburgIn a Chevrolet for Team Penske, Castroneves briefly took the lead but couldn’t make it stick as Sato grabbed it back. Castroneves was disappointed to fall short of the four- time winners club.“Being second again sucks, being so close to getting my fourth,” Castroneves said. I’m not giving up this dream and I know it’s going to happen.”The margin of victory was 0. Sato, who crashed while trying to beat Dario Franchitti on the final lap of the 2. 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