CMS acting Administrator Andy Slavitt, the agency may delay the implementation of MACRA, which is currently set to begin Medicare payment reform on January 1, 2017.

"The focus on small independent practices and their ability to continue practicing independently is a very important priority for us," Slavitt said.

Slavitt said CMS would consider numerous approaches to help delay and soften the blow of MACRA going live, including alternative start dates and shortened reporting periods. He added CMS is looking to reduce reporting burdens however possible, through means such as automatic data feeds and the elimination of some reporting where providers have consistently performed well.