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Make Adjustments Now to Avoid Multiple Pain Points


Beginning January 1, 2017, physicians can start participating in Medicare's Quality Payment Program (QPP). In order to avoid facing multiple pain points, now is the time to make final adjustments for the new value-based payment system.

In 2015, Congress established the QPP through the Medicare Access & CHIP Reauthorization Act (MACRA). There are two payment tracks under QPP:

  • Starting in 2019, most clinicians receiving reimbursement through QPP will be paid through the Merit-based Incentive Payment System (MIPS), which features data reporting in four performance categories that drive payment bonus and penalty mechanisms
  • Clinicians participating in MACRA-approved alternative payment models (APMs) such as the Medicare Shared Savings Program can earn 5% payment bonuses.

"Pick-your-pace" reporting for QPP started this year, with associated payment adjustments set to begin in 2019. Next year, a more mandatory approach to QPP data reporting—with bigger financial consequences for clinician compensation—will begin.

The QPP should be viewed as an opportunity to improve physician practices.

Based on a recent survey of physicians conducted by Black Book Research, these are the top ten challenges physician practices are facing.

If you have questions or need assistance with an assessment of your readiness and an action plan for 2017, please contact Nelda Fields at (843) 873-4400 or

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Nelda Fields | Debra Turner
Nelda Fields | Debra Turner
Healthcare Services Group | Partners
(843) 577-5843
40 Calhoun Street, Suite 320
Charleston, SC 29401
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