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    Physicians ready practices for 2018 MACRA rule


    “We will be looking at the QPP rule closely to identify positive improvements that CMS has already made and to make more detailed suggestions about changes that CMS can make to ease some of the regulatory burdens on physicians,” Susan Thompson Hingle, MD, MACP, and chair of the board for the ACP board of regents, said in a statement.

    Areas of concern for the ACP include the complexity of scoring in MIPS, that quality reporting data now requires data from 60% of patients instead of the proposed 50% and that cost will now be 10% instead of 0% as proposed earlier this year.

    The American Association of Family Physicians (AAFP) liked the additional flexibility some of the rules provided for small group practices caring for complex patients, but not the requirement for full-year data reporting in 2018 for cost and quality.


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    “The current lack of prompt and actionable feedback from CMS hampers practices’ ability to correct inadvertent reporting mistakes,” Michael Munger, MD, AAFP president, said in a statement. “The full-year reporting period impedes practices’ ability to learn how to properly report, perform mid-year upgrades, make corrections in their reporting capacities and become more familiar with MIPS requirements.”

    This concern was also shared by the Medical Group Management Association. “CMS is in effect prioritizing quantity over quality and giving physicians less than 60 days to prepare for the 2018 MIPS requirements,” Anders Gilberg, senior vice president, MGMA government affairs, said in a news release.

    The American Osteopathic Association supports the additional transition year, and says CMS “has advanced opportunities for solo and small practitioners to effectively engage in MACRA,” according to Mark A. Baker, DO, president of the group. “The introduction of virtual group options allows small practices to meet MACRA requirements in new ways that are important steps forward for solo and small providers, who are stretched to meet MACRA’s resource-intensive reporting requirements. We commend CMS for allowing small practices to pool resources to meet reporting standards.”

    Reaction from doctors shows how much frustration is still associated with the program.

    Next: “I think they should ditch the whole thing"

    Todd Shryock
    Todd Shryock, contributing author


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