CMS makes first move to see if MACRA will save money
The CMS is taking its first steps to see whether MACRA will lead to reduced Medicare spending with a new pilot.
The test will evaluate eight new measures to determine if physicians in the Merit-based Incentive Payment System, known as MIPS, are actually reducing the cost of care. The CMS unveiled the initiative just two weeks after the Medicare Payment Advisory Commission suggested repealing MIPS over concerns it wouldn’t lead to better quality of care or lower costs.
Under MIPS, providers become eligible for either bonus payments or penalties based on their performance.
Two years after the law’s rollout, the CMS still hasn’t outlined exactly how providers will be judged under the cost metric as the agency continues to develop specific measures to see if doctors are reducing spending.
The new CMS pilot will track cost data for eight procedures and medical conditions. As part of the experiment, the CMS has created reports for around 17,000 medical practices.
Acumen, a research firm hired by the CMS, is reaching out to the physician groups to review their reports and complete a survey on if the data provided is accurate. Clinician feedback will be used to refine the measures prior to their use in MIPS. Practices have until Nov. 15 to comment.