Article

Succeeding in Year 2 of the CMS Merit-based Incentive Payment System

Share this post:

In October 2016, the Centers for Medicare & Medicaid Services (CMS) announced its new Quality Payment Program (QPP) based on theMedicare Access and CHIP Reauthorization Act of 2015 (MACRA).

By instituting the QPP, CMS is furthering the movement to shift delivery and payment for
healthcare services from volume to value.Specifically, Medicare reimbursement will shift
from fee-for-service (FFS) to value-based payment programs. The QPP creates two new paths by which eligible clinicians will receive value-based Medicare reimbursement:
  •  The Merit-based Incentive Payment System (MIPS)
  • Advanced Alternative Payment Models (APMs)

Now in its second year, the QPP emphasizes the CMS commitment to minimize the burden of participation and increase transparency.

The 2018 final rule attempts to:
  • Support care improvement by focusing on better outcomes for patients and preserving the independent clinical practice
  • Promote the adoption of APMs that align incentives for high-quality, low-cost care across healthcare stakeholders
  • Advance existing delivery-system reform efforts, including ensuring a smooth transition to a healthcare system that promotes high-value, efficient care through unification of CMS legacy programs

Learn more about how IBM Watson Health solutions align to support MIPS.

More Article stories

Clearing the path to value – Feedback from 300+ US providers

Written by Watson Health | Article, Value-Based Care

This research brief includes highlights from a 2017 survey designed to seek opinions on the current climate for US healthcare executives. ...read more


Comprehensive Primary Care Plus toolkit

Written by Watson Health | Article, Value-Based Care

IBM Watson Health tools to support your participation. ...read more


NCQA 2017 Patient-centered medical home recognition

Written by Watson Health | Article, Value-Based Care

This resource kit contains information about how we can help you gain the recognition you need, so you can reap the rewards of all the good work you do. ...read more