News & Advocacy Federal Update: OAR Signs onto Letters to CMS posted: September 22, 2017 OAR and a number of state societies signed onto the Coalition of State Rheumatology Organizations comments that were submitted to CMS in response to proposed revisions for 2018. Medicare Physician Fee Schedule (MPFS), Medicare Shared Savings Program Requirements, and the Medicare Diabetes Prevention Program (CMS-1676-P) CY 2018 Updates to the Quality Payment Program