Healthcare Finance: Danielle Lloyd, vice president of policy and advocacy for healthcare improvement company Premier, was also disappointed that virtual groups won’t get off the runway in 2017. “Firstly, we do appreciate that CMS has altered the low-volume exclusion requirement to help protect the small practices,” said Lloyd. “They changed it from $10,000 to up to $30,000 in charges, so if you have less than or equal to $30,000 you’re going to be excluded from it. So we do appreciate that they have made that increase in the threshold, and that’s going to protect small practices. “But we were still hoping they would implement the virtual groups,” she said. “The low volume excludes those physicians from the program, whereas the virtual groups would allow them to say in the game but also protect them from the problems of low volume by allowing them to partner up with other clinicians.” Lloyd also worries that said new administration coming into Washington may complicate the picture. Demehin said he expects a virtual group proposal to be floated by CMS sometime next year.