tci Medicare Compliance & Reimbursement - 2018 Issue 7

Reimbursement: MedPac to Congress: MIPS Needs to Go

Most physician and hospital groups oppose the commission's drastic suggestions. Medicare providers are rounding the bend on the MIPS learning curve with one year and four months into the quality-backed payment plan. But despite strides made by many to adopt and adapt, one federal think-tank suggests ditching Medicare's basic reimbursement regime. Background: Last year, MACRA's Merit-Based Incentive Payment System (MIPS) went into effect, replacing CMS's previous plan, the Sustainable Growth Rate (SGR), as Medicare's entry-level reimbursement system. Mixed results and some confusion ensued, but despite bumps in the road, quality care and cost adjustment were realized under the new...

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