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Medicare will reward physicians who complete 'quality improvement' CME as part of their new value-based payment system.
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What is Quality IMprovement CME?
The CME Coalition has championed the Centers for Medicare and Medicaid Services (CMS) for recognizing accredited continuing medical education (CME) as a Clinical Practice Improvement Activity (CPIA) under the new Merit-Based Incentive Payment System (MIPS) — a physician reimbursement system created by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).
Under MACRA, physicians who do not participate in a qualifying alternative payment models (APM) will be subject to adjustments in their reimbursement under MIPS. MIPS is based on a 100-point score, with clinical practice improvement activities (CPIA) representing 15 percent of the score. The CME Coalition and other stakeholders have long advocated that CME should be included in the CPIA measurement category, as these courses are among the most important ways in which doctors seek to improve their understanding of new treatments and therapies, improve beneficiary outcomes, and ultimately, improve their practice as a whole.
Under MACRA, physicians who do not participate in a qualifying alternative payment models (APM) will be subject to adjustments in their reimbursement under MIPS. MIPS is based on a 100-point score, with clinical practice improvement activities (CPIA) representing 15 percent of the score. The CME Coalition and other stakeholders have long advocated that CME should be included in the CPIA measurement category, as these courses are among the most important ways in which doctors seek to improve their understanding of new treatments and therapies, improve beneficiary outcomes, and ultimately, improve their practice as a whole.
A Primer on QI CMEIn a recent session at CMEpalooza, the CME Coalition's Andrew Rosenberg and Tom Sullivan share their their insights and provide practical guidance on how to design and allow physicians to get credit from the Centers for Medicare & Medicaid Services (CMS) for certain CME activities.
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