Leg-Reg Update

MACRA’s QPP – 2018 is Year 2 continued
• Only 38% of physicians are expected to participate in MIPS, making
reform slower than anticipated and could lead to physicians pushing
back on the complexities of value-based reimbursement. HHS could
delay compliance in response.
• PA/LTC based physicians have difficulty meeting the MIPS measures
as they don’t take long term care patients into account.
• Need a APM model to get LTC docs out of MIPS.
• NASL commented on need to solve “facility based measurement”
• CMS answered – the facility based measurement proposal delayed
until year 3 of the Quality Payment Program (2019 performance year
and 2021 payment year).
NASL Winter Conference
February 7, 2018
Washington, DC