Quality Payment Program: Year 2 and Beyond
Non-ISMS members: $75.00
ISMS members: Free
Per legislation passed in 2015 (the Medicare Access and CHIP Reauthorization Act – MACRA), the Medicare Part B physician payment system has transitioned to one that includes two “payment Tracks,” each with different regulatory requirements and payment incentive/penalty implications. In a final rule published in the Federal Register in October 2016, CMS determined that 2017 would be the first year in which physicians were required to follow the new payment rules under the new Quality Payment Program. Now, in the second year of the program, physicians must meet specific requirements in order to avoid penalties in 2020.
More than a year after MACRA passed, surveys indicated that the vast majority of physicians remained unaware of the implications of MACRA on their practices. Although similar presentations were offered in 2016 and 2017, and physicians should already be engaged in the necessary activities to help avoid penalties in 2019, there are indications that many physicians still remain unaware of the requirements of the new Quality Payment Program.
At the conclusion of this learning activity, participants will be able to:
- Recognize Quality Payment Program participation requirements and options for the 2018 program year
- Learn specific program requirements for the Merit Based Incentive Payment Program (MIPS) track to avoid payment penalties in 2020 and possibly earn payment incentives
- Describe the basic requirements and election timeline of the “virtual group” option for participating in MIPS
- Identify programs that qualify as Alternative Payment Models
All faculty, content reviewers and planners who have had input into or contributed to the content have indicated they have no relevant financial relationships with any commercial entities that may have an impact on the activity.
ISMS members and their staff
The Illinois State Medical Society is accredited by the ACCME to provide continuing medical education for physicians.
The Illinois State Medical Society designates this enduring material for a maximum of 0.50 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
The Illinois Nurse Practice Act rules deem CME credit provided by approved sponsors as acceptable to fulfill nursing continuing education requirements for licensure. Nurses may claim one contact hour per unit of CME in the state of Illinois.
The recommendations contained in this resource are not intended to define conduct that is appropriate in every case, should not be considered as establishing any standard of care, and do not constitute legal advice. Physicians, clinicians and health care providers should take care to ensure that all care rendered reflects the best clinical judgment and complies with the laws and regulations of the state or location at which the care was provided.
ISMS Member Advocacy
Assistant Vice President
Health Policy Research and Education
- 0.50 AMA PRA Category 1 Credits™
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Illinois State Medical Society and ISMIE Mutual Insurance Company. The Illinois State Medical Society is accredited by the ACCME to provide continuing medical education for physicians.
The Illinois State Medical Society designates this enduring material for a maximum of 0.50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
- 0.50 Participation Credit
ISMS member cost: Free
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