CMS Will Begin Applying the Value Modifier in Calendar Year (CY) 2017 to All Physicians

CMS will begin applying the Value Modifier in calendar year (CY) 2017 to all physicians; including those in groups with two or more eligible professionals (EPs), and to physicians who are solo practitioners. This policy completes the phase-in of the Value Modifier to all physicians and groups of physicians as required by the statute.

CMS estimates it will affect approximately 900,000 physicians in CY 2017.

• CMS proposed to increase the maximum downward adjustment under the Value Modifier from -2.0 percent in the CY 2016 payment adjustment period to -4.0 percent for the CY 2017 payment adjustment period for all groups and solo practitioners.

• In addition, we will increase the maximum downward adjustment under the quality-tiering methodology for groups with ten or more EPs to -4.0 percent for groups of ten or more EPs classified as low quality/high cost and set the adjustment at -2.0 percent for groups classified as either low quality/average cost or average quality/high cost.

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