MACRA Implementation Has Begun: Will You Avoid a 4 Percent Reimbursement Penalty?

March 15, 2017

By now, most oncology professionals know that the Quality Payment Program (QPP), established by the Medicare Access and CHIP Reauthorization Act (MACRA), began on Jan.1, 2017, but did you know that 2017 is a transition year, meaning you can “Pick Your Pace” when implementing QPP in your practice?

“Pick Your Pace” refers to the options that practices in the Merit-Based Incentive Payment System can chose from to report 2017 quality data. The options for 2017 are:

  1. Testing the program by submitting a minimum amount of data (one measure for one chart)
  2. Reporting some data for at least 90 days
  3. Reporting full data for at least 90 days

Practices that do not report any 2017 data will receive a four percent Medicare reimbursement penalty in 2019.

As your partner in practice transformation, ASCO has prepared a “Top Ten List for MACRA Implementation in 2017.” The list offers step-by-step guidance for picking a pace and successfully navigating the transition year.

QPP is completely changing the way physicians are reimbursed for services provided under Medicare Part B. ASCO urges all oncology practices to understand and to prepare for these changes ahead of time. While 2017 is a transition year, in 2018 practices will be required to do full reporting—including reporting on 60 percent of eligible charts for at least six quality measures—to avoid a penalty in 2020.

In addition to the top 10 list, ASCO has developed a range of tools and educational materials to help the oncology community prepare for the changes ahead, including webinar recordings and slides from the MACRA education series.

ASCO will continue to update its online QPP toolkit throughout the MACRA implementation process.  Stay tuned to ASCO in Action and bookmark asco.org/MACRA for the latest news and updates.