If adopted, The Medicare Advantage Qualifying Payment Arrangement Incentive (MAQI) Demonstration will allow select providers to drop Merit-Based Incentive Payment System (MIPS) requirements.
CMS is seeking public feedback on the proposal, through September 4, 2018.
Some Medicare Advantage plans are developing innovative arrangements that resemble Advanced APMs. However, without this demonstration, physicians are still subject to MIPS even if they participate extensively in Advanced APM-like arrangements under Medicare Advantage.
CMS Administrator Seema Verma commented on the demonstration,
The MAQI Demonstration aligns with the Agency’s goal of moving to a value-based healthcare system, and aims to put Medicare Advantage on a more equal playing field with Fee-for-Service Medicare. CMS intends to test whether MIPS exemptions provided to clinicians under MAQI will increase participation in Medicare Advantage plans that are similar to Advanced APMs, and thereby accelerate the transition to a healthcare system that pays for value and outcomes.
CMS moved to allow some physicians who participate in risk-bearing Medicare Advantage plans to qualify as an advanced alternative payment model under the Medicare Access and CHIP Reauthorization Act, the agency said June 29.
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