This week CMS released a proposed rule on physician practice reimbursement, a 962 page monster document. Short headline, every physician practice will eventually have to sign on to MIPS or find some form of APM.
MIPS will be a combination of three previous failed programs - PQRS, value based modifier and the rule-from-hell EMR meaningful use. How's that going to work?
APM has several variations the most common being ACOs.
Any choice you make will exponentially increase your administrative work and the chance of full compliance is slim and none. Effectively physicians will be under intense pressure to ration hospital care.
The next three years are going to be a thrill ride.
PDF version:
https://s3.amazonaws.com/public-inspection.federalregister.gov/2016-10032.pdf
Federal Register website:
https://www.federalregister.gov/articles/2016/05/09/2016-10032/medicare-program-merit-based-incentive-payment-system-mips-and-alternative-payment-model-apm
Federal Register website:
https://www.federalregister.gov/articles/2016/05/09/2016-10032/medicare-program-merit-based-incentive-payment-system-mips-and-alternative-payment-model-apm
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