Health Policy 2017
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Healthcare is a more dynamic market and now more than ever urgent care professionals need to stay informed on key issues affecting their patients' care. Be sure to stay up-to-date on health policy issues and the potential impact they may have on the urgent care industry by checking out the resources below.

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Virtual Groups MIPS Reporting Option for 2018: Deadline December 31st: In November, the Centers for Medicare and Medicaid Services (CMS) finalized that individual clinicians and groups can participate in the Merit-Based Incentive Payment System (MIPS) as virtual groups during the 2018 performance year which begins on January 1.  On Jan. 1, 2017, eligible clinicians began participation in the Quality Payment Program in one of two ways: MIPS or Advanced Alternative Payment Models.

CMS Issues Requirements for 2018: Medicare Quality Payment Program (November 7, 2017): For physicians and other eligible clinicians who choose to participate in the QPP through the MIPS payment pathway, CMS continues participation flexibility, but increases the performance threshold that a MIPS eligible clinician will need to meet to avoid a negative payment adjustment in 2020. Overall, the 2018 program requirements represent a scaling up of the program in anticipation of more rigorous participation requirements in 2019 as required by law.

Nine Steps to Avoid a Medicare Payment Penalty (October 4, 2017): Under the Medicare Quality Payment Program (QPP), physicians, nurse practitioners, and physician assistants who bill for Medicare Part B services have a choice of two avenues to avoid a Medicare payment penalty in 2019: the Merit-Based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (APMs). 

UCAOA Comments on Medicare Quality Payment Program Proposals (August 21, 2017): UCAOA submitted comments to the Centers for Medicare and Medicaid Services (CMS) on August 21 in response to the Agency’s proposed updates to the Quality Payment Program (QPP) for 2018.  

Senator Cassidy Presents Urgent Care Bill to VA Committee (July 11, 2017): Sen. Bill Cassidy (R-LA) spoke in strong support of his legislation, the Veterans Emergency Room Relief Act (S. 1261), a bill embraced by the UCA that will provide relief to the Department of Veterans Affairs’ (VA) overburdened health care system and establish urgent care centers as an important health care access point for our nation’s veterans.

House Passes Medical Malpractice Bill That Faces Tough Road in the Senate (June 28, 2017): The Republican-controlled House of Representatives narrowly passed legislation to limit damages from medical malpractice lawsuits as part of the GOP effort to reform the health care system.

CMS Proposes Quality Payment Program Participation Requirements for 2018 (June 20, 2017): CMS released proposed requirements for physician participation in the Merit-Based Incentive Payment System (MIPS) and Alternative Payment Models (APMs) for the 2018 performance year. 

Freestanding EDs Discussed at Congressional Hearing (May 18, 2017): A U.S. House of Representatives congressional committee held a hearing on the current status of the Medicare program. The Ways and Means Subcommittee on Health Chairman Pat Tiberi (R-OH) asked Mark Miller, PhD, executive director of the Medicare Payment Advisory Commission (MedPAC) to preview their recommendations on freestanding emergency departments. 

New Quality Payment Program Begins on January 1: The performance period for the new Medicare Part B Quality Payment Program (QPP) will begin. While it is not necessary for clinicians to begin participation on January 1st to avoid a negative 4 percent adjustment in 2019, clinicians who are aiming to receive a positive adjustment and bonus payment are encouraged to begin participation as early in 2017 as possible.

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