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June 21, 2017

AAOS to Comment on 2018 Quality Payment Program Proposed Rule

Washington, DC—Yesterday, the Centers for Medicare and Medicaid Services (CMS) released a proposed rule that would make changes in the second year of the Quality Payment Program, including participation requirements for 2018. The Quality Payment Program—which replaces the flawed Sustainable Growth Rate (SGR) formula as required by the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015—includes two tracks: the Merit-based Incentive Payment System (MIPS) track and the Advanced Alternative Payment Models (APMs) track. The American Association of Orthopaedic Surgeons (AAOS) has been working closely with CMS to address a number of concerns related to the Quality Payment Program, including the need for additional flexibility and simplification, as well as protection for small, solo, and rural practices. In this proposed rule, CMS has taken significant steps to respond to these concerns, and AAOS will be providing CMS with further comments by the August 18 deadline.

“AAOS is pleased CMS has listened to physician feedback, and we commend the agency for incorporating changes that will address a number of our concerns,” said Wilford K. Gibson, MD, Chair of the AAOS Council on Advocacy. “The program remains overly complex and there are continued issues regarding access to data and Advanced APM qualification for specialists, but we are extremely encouraged by proposals that improve the program for providers and ensure quality care for Medicare beneficiaries. The provisions related to virtual groups, expanding the low-volume threshold, and delaying 2015 CEHRT are especially welcomed. Further, we applaud the agency for continuing the ‘Pick Your Pace’ transition period, allowing physicians to more successfully meet the challenges of implementation and participation. We look forward to continuing our work with CMS to further improve the Quality Payment Program and ensure physician payment reform ultimately improves the care of musculoskeletal patients.”

For further information and resources, visit

Read the CMS press release online here:

Read the CMS fact sheet on the proposed rule here:

Read the proposed rule here:

Additionally, on Monday, June 26 at 1:00 p.m. ET, CMS will host an overview webinar on the Medicare Quality Payment Program Year 2 proposed rule. Join the webinar to hear CMS policy experts provide an overview of proposed participation requirements for the second year of the Quality Payment Program. Webinar details:

Follow the AAOS Office of Government Relations on Twitter: @AAOSAdvocacy
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