CMS Wants To Ease Burden Of Programs
CMS wants to ease burden of programs after eight years of dictatorship and limited input from providers, health care finally has a pragmatist in the White house. Rural and small providers may be receiving relief so they can better participate in quality programs under the Medicare Access and Reauthorization Act (MACRA) following a proposed rule that the Centers for Medicare and Medicaid Services issued Tuesday.
The Quality Payment Program is up dated annually. Clinicians determine how they want to participate based on their practice size, specialty location and patient population. CMS wanted to ensure these providers a pathway to participate in Advanced Alternative Payment Models, while improving patient care and outcomes.
CMS requested input from the providers and heard that too many quality programs, technology requirements and measures were getting between the doctor and his/her patients. Sema Verma the CMS Administrator is committed to listening to the providers and is taking a hard look at reducing program burdens. the new proposed rule is designed to reduce paperwork and foster better care for patients. The goal is to reduce burdens placed on doctors so they can improve their patient contact and produce better outcomes for all Americans.
In the proposed rule, CMS seeks to extend the revenue-based nominal amount standard, which was previously finalized through the performance year 2018, for another two additional years. this will allow a system in an alternative payment model to move up to an Advanced APM if participants are required to bear total risk of at least 8% of their Medicare Parts A and B revenue.
An additional change proposed for fiscal year 2018 would be to add bonus points for complex patients, recognizing that not all patients need the same level of care or time. CMS is asking for comments on the option of including duel eligibility as a method to adjust scores, as an alternative or in addition to the Hierarchical Conditions Category risk score.
CMS requests that all comments be in by no later than August 18, 2017.
It is encouraging that CMS understands that they can reduce regulatory burdens on providers, while still improving quality outcomes. More regulations and layers of bureaucracy do not in fact equate to better patient care.
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