Medicare Physician Payment

How to Report the Revised Fee-for-Service Option

Under the Merit-Based Incentive Payment System, CMS evaluates providers' performance based on four weighted categories in 2018. See our analysis of the final rule for 2018.

• Quality (formerly PQRS) - 50 percent
• Promoting interoperability (formerly advancing care information) - 25 percent
• Cost (formerly the value-based modifier) - 10 percent
• Improvement activities - 15 percent

Implementation Timeline

• January 2017 – CMS begins to evaluate physicians’ performance, based on the requirements outlined under the two Quality Payment Program options.
• January 2019 – Physicians receive first pay adjustment under the new system, based on 2017 performance.

Our Commitment to Your Success

The Academy's physician leaders are working with policymakers in Washington, D.C., to secure ophthalmologists' success under the new system. In addition to our analysis following CMS' publication of the 2018 final rule in November 2017, we continue to identify and address parts of the program that don't work for ophthalmologists. We're working with medicine, Congress and federal regulators to ensure the system supports you and your patients.