The Centers for Medicare and Medicaid Services (CMS) is scheduled to release the 2019 Quality Payment Program (QPP) proposed rule shortly. The rule will lay out proposals for the third year of implementation of the Merit-based Incentive Payment System (MIPS) and the Advanced Alternative Payment Models (APMs) tracks. The QPP was established by the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015.
While the QPP was released independently in previous years, it is anticipated that the 2019 QPP proposed rule will be combined with the 2019 Medicare Physician Fee Schedule proposed rule, which generally is released on or around July 1.
Many of the changes CMS made in the 2018 QPP final rule were aimed at reducing burdens and enhancing flexibilities for clinicians. On that theme, CMS implemented the Patients Over Paperwork Initiative, a cross-cutting, collaborative process that evaluates and streamlines regulations with a goal to reduce unnecessary burdens, increase efficiencies and improve the beneficiary experience. CMS also launched the Meaningful Measures Initiative to identify high-priority areas for quality measurement and reduce the quality reporting burden. We anticipate that CMS will continue to articulate goals and priorities around these themes in the 2019 proposed rule.