We're still reading through the 2,398-page MACRA final rule, so it’s hard to summarize what the rule will mean for providers. Here are our three initial big takeaways from the final rule, compared with the proposed rule.

Clinicians will find it far easier to comply with MIPS in 2017 As the agency had previously previewed, the final rule includes significant flexibility for providers in the first year, to the point that most—if not all—clinicians should be able to avoid a negative payment adjustment for performance year 2017. CMS proposes three options for providers subject to MIPS in 2017, the easiest of which providers can meet by reporting a single metric. CMS has also raised the low-volume threshold, exempting more small practices from MIPS.

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