Friday, December 5, 2025

Healthcare Informatics: OIG report identifies two MACRA vulnerabilities for CMS to target in 2018

“The U.S. Department of Health and Human Services (HHS) Office of the Inspector General issued a report of its review of the Centers for Medicare & Medicaid Services’ (CMS) management of the Quality Payment Program and cited specific concerns regarding the need for more specialized technical assistance for clinicians and program integrity efforts.”

Following a 2016 implementation review…” OIG identified two vulnerabilities that were critical for CMS to address in 2017: “(1) providing sufficient guidance and technical assistance to ensure that clinicians were ready to participate in the QPP, and (2) developing information technology (IT) systems to support data reporting, scoring, and payment adjustment.” “OIG conducted this follow-up review to assess CMS’s progress in mitigating these potential vulnerabilities and to identify emerging risks…”

“For this recent review, OIG interviewed CMS staff and reviewed internal CMS documents as well as publicly available information and conducted qualitative analysis to identify key milestones, priorities and challenges related to QPP implementation…”

“Overall, OIG identified two vulnerabilities that are critical for CMS to address in 2018 because of their potential impact on the program’s success…”

Source: HHS OIG Report Cites Concerns with MACRA Implementation – By Heather Landi, December 18, 2017. Healthcare Informatics. Read the full article here.

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Jackie Gilbert
Jackie Gilbert
Jackie Gilbert is a Content Analyst for FedHealthIT and Author of 'Anything but COVID-19' on the Daily Take Newsletter for G2Xchange Health and FedCiv.

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