On April 27, 2016, the Centers for Medicare and Medicaid Services (CMS) released a proposed rule titled “Medicare Program; Merit-Based Incentive Payment System (MIPS) and Alternative Payment Model (APM) Incentive under the Physician Fee Schedule, and Criteria for Physician-Focused Payment Models.”1
This 962-page document provides detailed information on how Medicare proposes to oversee and manage two programs that were created in the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). These are the newly created Merit-based Incentive Payment System (MIPS) and the Advanced Alternative Payment Models (APMs).
This article will review selected aspects of the proposed rule so clinicians can begin preparing for MIPS and Advanced APMs, which go into effect on January 1, 2017. The need to start preparing now is vital.