CMS Allows You to Pick Your Pace MACRA Quality Payment Program CMS Allows You to Pick Your Pace Vinita Ollapally | Regulatory Affairs Manager Division of Advocacy and Health Policy

CMS announces plans for the Quality Payment Program: Pick Your Pace CMS announces plans for the Quality Payment Program: 2017 Participation Options Quality Payment Program CMS Allows You to Pick Your Pace

QPP Announcement September 8, 2016: New plans announced for the first year of the Quality Payment Program (QPP) CMS intends to “allow physicians to pick their pace” for reporting starting January 1, 2017 CMS Acting Administrator Andy Slavitt Quality Payment Program CMS Allows You to Pick Your Pace

QPP Announcement The first performance year for the QPP is January 1, 2017 – December 31, 2017 CMS recently announced that physicians will have “multiple options for participation” in 2017 In response to ACS advocacy for flexibility given that full QPP implementation by January 1, 2017, is not possible Quality Payment Program CMS Allows You to Pick Your Pace

Four Reporting Options 1. Test the Quality Payment Program 2. Participate for part of the calendar year 3. Participate for the full calendar year 4. Participate in an Advanced Alternative Payment Model *Details for these options will be outlined in the MACRA final rule, expected by November 1, 2016 Quality Payment Program CMS Allows You to Pick Your Pace

Option 1: Test the Quality Payment Program Physicians may “submit some data” to the QPP after January 1, 2017 Will avoid a negative payment adjustment under the QPP Intended to ensure preparation for broader participation in 2018 and 2019 Quality Payment Program CMS Allows You to Pick Your Pace

Option 2: Participate for Part of the Calendar Year Physicians may “submit Quality Payment Program information for a reduced number of days” Under this option, the first performance year could start after January 1, 2017 Example: Submit information for part of the calendar year for quality measures, how your practice uses technology, what improvement activities your practice is undertaking Select from the list of quality measures and improvement activities available under the QPP Physicians could still qualify for a small positive payment adjustment Quality Payment Program CMS Allows You to Pick Your Pace

Option 3: Participate for the Full Calendar Year Physicians may “submit Quality Payment Program information for the full calendar year” Performance year would start on January 1, 2017 For practices that are ready on January 1, 2017 Example: Submit information for the entire calendar year for quality measures, how your practice uses technology, what improvement activities your practice is undertaking Physicians could qualify for a modest positive payment adjustment Quality Payment Program CMS Allows You to Pick Your Pace

Option 4: Participate in an Advanced Alternative Payment Model Instead of reporting quality data and other information, physicians could participate in an Advanced APM in 2017 Development of Advanced APMs widely applicable for surgeons is the object of significant ongoing policy development efforts by ACS Quality Payment Program CMS Allows You to Pick Your Pace

Four Options: Pick Your Pace Description Timeline 2019 Payment Adjustment 1 Test the Quality Payment Program At some point in calendar year 2017 Avoids negative payment adjustment 2 Participate for part of the calendar year Reduced number of days in calendar year 2017 Could qualify for a “small” positive payment adjustment 3 Participate for the full calendar year Full calendar year 2017 Could qualify for a “modest” positive payment adjustment 4 Participate in an Advanced APM 2017 Could qualify for a 5% incentive payment *Details for these options will be outlined in the MACRA final rule, expected by November 1, 2016 Quality Payment Program CMS Allows You to Pick Your Pace