As we have reported, the Office of Management and Budget is currently reviewing the 2018 Quality Payment Program Proposed rule that implements programs under MACRA, including MIPS and Advanced Alternative Payment Models. The proposed rule is expected to be released shortly, even as early as today. ASCRS•ASOA will alert members when the proposed rule is released.
ASCRS and the medical community have been advocating extensively for additional changes to the MIPS program for 2018, since the release of the 2017 final rule. We are recommending CMS extend the flexibility it offered in 2017 under “Pick Your Pace” through 2018 to give physicians and practices more time to transition to the new program. We are also recommending CMS make additional modifications to streamline the MIPS program and simplify the scoring. In addition, we’re requesting CSM reinstate the measures groups option, such as cataract and diabetic retinopathy; maintain the 0% weighting for the Cost category; and remove measures outside the physician’s control from the Advancing Care Information category. We will be submitting comments on the 2018 proposed rule echoing these recommendations. Following our comments on the 2017 proposed rule, we were successful in achieving many of our recommendations in the final 2017 rule.
One of the key changes to quality reporting made under MACRA was the ability for physicians in groups of two or more to participate in the MIPS program as a group. Some of the most frequent questions ASCRS•ASOA hears from our members relate to group reporting. To assist ophthalmic practices in navigating the requirements for group reporting and the possible advantages of group reporting, we have developed a Group vs. Individual Reporting Guide to help members understand their options. In addition, we’ve focused past Tips of the Week on how to reduce your reporting burden through group reporting. Group reporting can be especially advantageous to multi-specialty practices which may incorporate subspecialists, such as ophthalmic plastic surgeons, or optometrists who may not have enough measures to report. In addition, the ACI performance of some members in a group who use EHR would ensure that other members in the group who do not use EHR get credit for the category. Download the group reporting guide for full details or visit the MACRA Center for additional information.