CMS Gives More Small Practices a Pass on MACRA

Guidehouse's Christopher Stanley, M.D. via Modern Healthcare

The CMS wants to exempt more small providers from having to comply with MACRA. Physician practices with less than $90,000 in Medicare revenue or fewer than 200 unique Medicare patients per year would be exempt under the new draft rule.

The move will exclude about 834,000 more clinicians from complying with the quality reporting program under the Medicare Access and CHIP Reauthorization Act of 2015. The original threshold was $30,000 or fewer than 100 Medicare patients. Between alternative payment models and small practice exemptions, only 37% of 1.5 million Medicare clinicians now billing under Medicare will be complying with MIPS according to the CMS. Still, experts — including Guidehouse's Chris Stanley, M.D. — say the move should not be viewed as the CMS undermining value-based care.

This should not be taken as a sign that physicians are going to go back to the fee-for-service way of doing business. 

Christopher Stanley, M.D., Guidehouse via Modern Healthcare

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