ISASS signed on to an AMA letter signed by more than 100 state and national medical specialty societies to Centers for Medicare and Medicaid Services (CMS) Acting Administrator Slavitt laying out principles CMS should follow in designing regulations to implement the Medicare Access and Chip Reauthorization Act (MACRA). The letter is in response to a CMS Request for Information (RFI) regarding the implementation of Alternative Payment Models (APMS) and Merit-Based Incentive Programs (MIPS) under MACRA.On September 28, CMS released an RFI seeking public comments on Section 101 of MACRA, which:
CMS recently extended the comment deadline from October 30 to November 17.
- Repeals the Medicare Sustainable Growth Rate methodology for updates to the physician fee schedule (PFS) and implements scheduled PFS updates;
- Adds the new Merit-based Incentive Payment System (MIPS) for eligible professionals, sunsets payment adjustments under the current initiatives for the Physician Quality Reporting System, Value-Based Payment Modifier, and the Medicare EHR Incentive Program, and consolidates aspects of those programs into the new MIPS; and
- Promotes the development of Alternative Payment Models (APMs) by providing incentive payments for certain eligible professionals who participate in APMs and by encouraging the creation of additional Physician-Focused Payment Models.