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MIPS and the New Administration

July 11, 2017

While the spotlight has primarily been focused on what to do about the Affordable Care Act, a subtle nod from the new administration was given in moving the MACRA law right along. Right at the end of June, CMS published the CY 2018 Updates to the Quality Payment Program proposed rule.


When MACRA first passed, it was done so with a 91% bipartisan support in the House of Representatives. Even with the necessary support from both sides, there has been a lot of interest in seeing what the Trump administration’s take would be on the healthcare law.


This proposed rule shows that while MACRA will continue on, we will see areas in which they will attempt to ease the administrative burden and timeline. A few examples of this are:

  • Exemption levels have increased allowing for another estimated 134,000 clinicians to bow out from the required participation

  • Resource Use, better known as the cost component of MIPS, will be delayed for a second year and will not start until CY 2019

  • 2015 CERHT requirements have been pushed out another year allowing EHR vendors more time to make the necessary move

We will keep our fingers crossed that CMS will continue to show consideration for the administrative complexity our practices are dealing with and demonstrate their resolve to ease those burdens.

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