The finalized Quality Payment Program (QPP) rule issued by the Centers for Medicare and Medicaid Services on Thursday maintains its leniency on EHR upgrades for 2018 and includes several new incentives for physicians to use patient-generated data and remote monitoring technology. The 1,658-page file rule (PDF) codifies 2018 QPP payments, an initiative established under the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) that rewards physicians for value and outcomes. A new improvement activity performance category, weighted as “high,” rewards physicians that leverage digital tools and devices that collect patient-generated health data including “patient engagement and outcomes tracking platforms, cellular or web-enabled bidirectional systems, and other devices that transmit clinically valid objective and subjective data back to care teams.”

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