ASCO joined nearly 50 medical organizations in urging the Centers for Medicare & Medicaid Services (CMS) to reduce the quality performance period under the 2018 Merit-based Incentive Payment System (MIPS) to 90 days instead of a full calendar year. In a letter to CMS Administrator Seema Verma, the organizations point to estimates that, under provisions from the 2018 QPP final rule, record keeping and reporting will total more than 7.5 million hours and cost nearly $700 million—taking physician time and other resources away from patients.
The organizations also express concerns over delays in posting key information practices need to complete their 2018 MIPS reporting on the Quality Payment Program (QPP) website. Despite significant program changes this year, information regarding MIPS eligibility for 2018 was not made available on the QPP website until April. While the organizations applaud certain 2018 changes to QPP, they caution that such changes complicate clinicians’ ability to determine their 2018 MIPS eligibility status and lead to a heavier administrative lift.
The QPP website lacks other key information for 2018 MIPS reporting, yet further updates to the site are not scheduled until the summer of 2018. The letter notes the challenge this presents for practices to successfully complete MIPS reporting, since the QPP website is the primary informational outlet explaining the program.
The letter also asks CMS to reconsider its proposed timing for sending MIPS feedback reports to practices, which are not expected until midway through 2018 at the earliest. This timing leaves practices with little opportunity to make adjustments based on their feedback reports, as this year’s data collection and reporting will already be well underway.