IT Forefront

MACRA: Ready, get set…but at what pace should you go?

by Ye Hoffman

Weeks before the MACRA Final Rule was released, CMS stated that they would finalize policies to help clinicians ease into the Quality Payment Program.

CMS made good on their promise—they've finalized four "pick your pace" options. Clinicians that participate in an Advanced Alternative Payment Model (APM) may qualify for the APM track. For everyone else, which comprises over 80% of clinicians around the country, there are three options to participate in the Merit-based Incentive Payment System (MIPS).

When we reviewed the options, we came up with a fitting analogy: clinicians can crawl, walk, or run in the MIPS race.

  • Crawl. As long as clinicians submit a bare minimum of data in 2017, they can avoid penalties. That means they can report just a single quality measure, or one improvement activity, or the required Advancing Care Information (ACI) measures.

  • Walk. Clinicians who submit a bit more data can avoid penalties, and also potentially earn a nominal positive payment adjustment. They would have to report more than one quality measure or improvement activity, or more than the required ACI measures. The data submitted must span at minimum a continuous 90-day period.

  • Run. If clinicians submit all required data in all performance categories for at least a continuous 90-day period, they may earn a modest positive payment adjustment. Clinicians with the highest scores can also partake in an additional positive adjustment reserved for exceptional performers.

We've analyzed thousands of pages of requirements in the final rule and created a guide to help you decide which pace you should pick.


How the final rule impacts providers

Listen to the first session in this series to get the most out of our final session on Nov. 29.

Start listening

Your guide to the MACRA transition year

Join me on Nov. 29 at 3 p.m. ET for this last webconference in our final rule summary series, when I'll decode the complex MIPS and APM requirements and help you choose your pace in the year ahead.

Register now