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CMS: Meaningful Use for Physicians Would End in 2017

   April 28, 2016

Under proposed rules, the Meaningful Use incentive payment and penalty program would be replaced by the new, "less burdensome" Advancing Care Information program for physicians being paid by Medicare.

The Centers for Medicare & Medicaid Services wants to replace the meaningful use program for physicians with a program that is " far simpler, less burdensome, and more flexible," CMS Acting Administrator Andy Slavitt said Wednesday.

Slavitt and Karen DeSalvo, HHS acting assistant secretary for health and director of HHS' Office of the National Coordinator spoke to media by teleconference Wednesday afternoon as CMS released its proposed rules based on the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) passed by Congress last fall.

Under the proposed rules, the meaningful use incentive payment and penalty program created by the 2009 HITECH act, would be replaced by the new Advancing Care Information program for physicians being paid by Medicare.

The meaningful use regulations approved last fall for hospitals and recipients of Medicaid remain unaffected by the MACRA proposed rule, which now enters a 60-day public comment period, CMS officials said.

"The proposal will allow physicians and other clinicians to select the measures that reflect how technology best suits their day-to-day practice, and only report on those with multiple paths to success," replacing meaningful use's all-or-nothing attestation process for physicians, Slavitt said.

Related: New Medicare Rules Would Increase Bonus Opportunities, Ease Reporting

Common Standards

The MACRA proposed rule also moves U.S. healthcare toward common standards, changing the culture around data sharing and creating appropriate business cases, says Karen DeSalvo MD, HHS acting assistant secretary for health and director of HHS' Office of the National Coordinator.

Currently, Medicare measures the value and quality of care provided by doctors and other clinicians through a patchwork of programs. Some clinicians are part of Alternative Payment Models such as the Accountable Care Organizations, the Comprehensive Primary Care Initiative, and the Medicare Shared Savings Program—and most participate in programs such as the Physician Quality Reporting System, the Value Modifier Program, and the Medicare Electronic Health Record (EHR) Incentive Program.

In enacting MACRA, Congress streamlined these various programs into a single framework to help clinicians transition from payments based on volume to payments based on value. Wednesday's proposed rule would implement these changes through the unified framework called the Quality Payment Program, which includes two paths, MIPS [Merit-based Incentive Payment System] and APM [Advanced Alternative Payment Model].

"Whether the provider, doctor, or clinician is in the MIPS portion of this program, or an in Advanced Alternative Payment Model, there will be an expectation that they're using certified technology to improve the care of patient," DeSalvo said. "We also recognize that care is very local, and we need to be flexible. It's time we can pull away some of the prior expectations in the program, like computerized order entry."

Scott Mace is the former senior technology editor for HealthLeaders Media. He is now the senior editor, custom content at H3.Group.

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