MGMA RESPONDS TO CMS RFI ON MEDICARE ADVANTAGE TRANSPARENCY

MGMA responded to the Centers for Medicare and Medicaid Services’ (CMS) Request for Information on Medicare Advantage (MA) transparency. As the number of MA beneficiaries continues to grow, it is imperative that the MA program ensures adequate and transparent coverage to patients, timely payment to medical groups, and remains a viable pathway for medical groups to participate in value-based payment arrangements. These priorities cannot be achieved without accurate and robust data on MA utilization management practices including prior authorization, onerous care denials, and value-based contracts.

2024 QUALITY PAYMENT PROGRAM EXCEPTION
APPLICATIONS OPEN

CMS has opened the application window for 2024 Quality Payment Program (QPP) Exceptions through Dec. 31, 2024, at 8 p.m. ET. There are two types of exceptions groups can apply for if they are unable to report data for one or more Merit-based Incentive payment System (MIPS) categories — the MIPS Promoting Interoperability Performance Category Hardship Exception and the MIPS Extreme and Uncontrollable Circumstances (EUC) Exception.

Visit CMS’ QPP Exception website for more information.