AANEM Comments on MACRA Proposed Rule
The AANEM submitted a comment letter
to the Centers for Medicare & Medicaid Services (CMS) on June 27 regarding its proposed rule
implementing MACRA (Medicare Access and CHIP Reauthorization Act): “Merit-Based Incentive Payment Systems (MIPS) and Alternative Payment Model (APM) Incentive under the Physician Fee Schedule, and Criteria for Physician-Focused Payment Models.” The MACRA legislation represents a complete overhaul of the structure of physician payments under Medicare, replacing the current value-based programs starting in 2017 with a new framework called the Quality Payment Program (QPP).
AANEM provided extensive comments and suggestions to CMS on how to improve the performance-based payments for all physicians, and specifically for neuromuscular and EDX physicians. Many AANEM members have struggled to meet the various requirements of the current Medicare value-based programs (“Meaningful Use of EHRs,” PQRS and Value-Based Modifier), because the programs simply weren’t designed with most specialists or sub-specialists in mind. While the programs proposed in this rule demonstrate some improvement and administrative simplification, it leaves much room for improvement.
The Final Rule implementing MACRA is due to be released this fall, no later than November 1, 2016. AANEM, along with most other organizations, have requested an extension to allow physicians more time to prepare for the drastic changes under the QPP. In the meantime, AANEM is working hard to create resources for members to help them prepare for the changeover, set to occur January 1, 2017.
Please visit AANEM’s MACRA webpage for more information: http://www.aanem.org/Practice/Medicare/MACRA
. For questions about MACRA and/or the proposed rule, please contact the AANEM policy department at firstname.lastname@example.org