Health Law Insights Newsletter - Issue 9 - May 2016

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NATIONAL -

Medicare Proposes New Part B Payment System -

The Center for Medicare and Medicaid Services (CMS) on April 27 proposed a new rule that would transform Medicare Part B reimbursement to practitioners into a two-track payment system commencing in 2019. Under the new system, called the Quality Payment Program, practitioners would have the option of electing to receive payment of a 5 percent annual bonus under an “advanced alternative payment model” (APM) or opt for payment under a Merit-Based Incentive Payment System (MIPS), which would subject them to payment increases or reductions based upon a quality performance score. The proposal is designed to replace the sustainable growth rate formula.

Please see full publication below for more information.

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DISCLAIMER: Because of the generality of this update, the information provided herein may not be applicable in all situations and should not be acted upon without specific legal advice based on particular situations.

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