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Under MACRA, the last payment adjustment year related to the PQRS, VBPM, and Electronic Health Record Incentive program (Meaningful Use) will be in 2018, based on January 1, 2016, to December 31, 2016, reporting.
In the future, this performance category will be similar to the VBPM program but focused solely on claims-based cost calculation.
In essence, the VBPM establishes arbitrary practice standards and spending ceilings; physicians who have the temerity to practice medicine as they see fit, or spend too much relative to their peers, will be punished.
If you accept Medicare patients, regardless of the size of your practice, VBPM will become part of your life--because your 2017 Medicare payments will be adjusted based on your 2015 VBPM "score."
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