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News & Press: Government Affairs News

MedPAC Releases June Report to Congress

Thursday, June 15, 2017   (0 Comments)
Posted by: Bradley Coffey, MA, AAOE Government Affairs
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Washington, DC - In a recent report to Speaker of the House Paul Ryan and President of the Senate Mike Pence, the Medicare Payment Advisory Commission (MedPAC) called on Congress to revise the way in which the Merit-based Incentive Payment System (MIPS) reimburses and grades eligible clinicians.

Calling MIPS "process-oriented", the Commission argued that the data would not help CMS determine quality of care because the data is not comparable across specialties, according to Politico. The Commission recommended that instead of judging clinicians against national benchmarks on these process measures, clinicians should instead be graded against the performance of other physicians in their geographic area. Clinicians not meeting or exceeding the national benchmarks for 2017 could see cuts of up to 4% of their Medicare payments cut.

MedPAC is a commission established by Congress to provide guidance to the chambers on Medicare payment policy. While the Commission's recommendations are not always implemented, MedPAC's calls for revisions to the reimbursement methodology are significant and we could see legislative proposals aiming to implement these recommendations.

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