Fewer quality measures, a shorter reporting period for Meaningful Use requirements and an increase in uncompensated rate payments were all positives in the eyes of hospitals in their initial reaction to the proposed 2019 Medicare Inpatient Prospective Payment System (IPPS) rule.

At the April meeting of the Medicare Payment Advisory Commission (MedPAC), the panel voted to recommend a 30 percent cut to payment rates for standalone emergency departments (EDs) and indicated it may suggest action on hospital quality reporting later this year.

Easing clinician burden under the payment tracks implemented as part of the Medicare Access and CHIP Reauthorization Act (MACRA) will be a priority for CMS in this year’s rulemaking, according to Kate Goodrich, MD, the agency’s chief medical officer. What won’t be changing, however, is requiring providers to meet the 2015 edition of certified electronic health record technology (CHERT) standards.

Lawrence Carl, MD, is the medical director for Main Street Radiology (MSR) in Queens, N.Y., a board-certified radiologist and assistant radiology professor at Weill Cornell. His medical director responsibilities include keeping an eye out for emerging technologies to positively impact workflow and patient care in outpatient radiology. To that end, Dr. Carl leads MSR administration and technology professionals to multiple educational events each year.