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What can we expect for MPFS updates now that the SGR is repealed?

MACRA provides the following updates:

  • FOR JULY 2015 THROUGH DECEMBER 2015: The update to the single conversion factor is 0.5 percent. (Value-based program payment adjustments also apply.)
  • FOR 2016 THROUGH 2019: The update to the single conversion factor is 0.5 percent. (Value-based program payment adjustments also apply through 2018.)
  • FOR 2020 THROUGH 2025: The update to the single conversion factor is 0.0 percent.
  • FOR 2026 AND SUBSEQUENT YEARS: The update to the qualifying APM conversion factor is 0.75 percent, and the update to the non-qualifying APM conversion factor is 0.25 percent.
  • Not excluded from MIPS based on the low-volume threshold exclusion at the individual level.

After 2019, payment updates are made through participation in MIPS or an Advanced APM.

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