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We need your feedback & comments

The MACRA required us to ask for your feedback.

Learn about the 2018 care episode & patient condition codes

Apply to participate in our 2018 study on burdens associated with reporting quality measures to get Improvement Activity credit for 2018

Learn about how you can get Improvement Activity credit for 2018 by participating in our 2018 study on burdens associated with reporting quality measures.

Quality Payment Program Year 2 NPRM

We’ve issued a proposed rule on the Quality Payment Program that makes reporting requirements easier and gives clinicians, especially small, independent and rural practices, more support.  It also helps Medicare be a fiscally responsible program that ties value to quality. 

Episode-based cost measures

We’re sharing the information below as a part of the 8 episode-based cost measures field testing that took place October 16, 2017 through November 20, 2017 at 12 pm ET.

You can give us your feedback on these materials.

  • The fact sheet gives you basic information about episode-based cost measures, the field testing process, and how clinicians and groups can access their own practices' reports.
  • The FAQs give you more information in a question and answer format.
  • The mock report is a sample Episode-Based Cost Measure 2017 Field Test Report you can use for review.
  • This zip file has all the supporting documentation for the episode-based cost measures under development, including an index that will tell you the purpose of each document.
  • Read the 2017 National Summary Data Report.
  • Read the updated 2017 National Summary Data Report, providing national-level summary statistics for the 8 episode-based measures, using the final measure specifications that were updated after the 2017 field testing.

Prior feedback requests:

  • The Quality Payment Program (QPP) final rule.
  • The MACRA RFI.
  • The Draft CMS Quality Measure Development Plan (MDP).  
  • Annual call for measures & activities
    • This process allows organizations representing eligible clinicians, such as professional associations and medical societies, to identify and submit measures and activities for consideration from these categories:
      • Measures for the Quality performance category
      • Measures for the Advancing Care Information performance category
      • Activities for the Improvement Activities performance category

All information and supplemental documents were due by June 30, 2017. Improvement Activity recommendations submitted by February 28, 2017 will be considered for 2018. Improvement Activity recommendations submitted after February 28, 2017 will be considered for future years. You can read our fact sheet and attend our webinar for a walkthrough of the process.

The episode groups we’ve created as part of the Affordable Care Act are specific criteria and patient characteristics we’ll use in the future to create care episode and patient condition groups. We’ve used episodes to give physician groups feedback about their resource use to support bundled payment and hospital quality reporting programs.

Get more detailed information about episode groups: