Quality & Practice

Quality Payment Program

The final rule has been released. Check back often as more information becomes available and visit https://qpp.cms.gov/ to learn more. 

On April 27, 2016, a proposed rule was issued by the Centers for Medicare & Medicaid Services (CMS) that signified the most extensive change in physician payment policies in the last 2 decades. Major changes included:

  1. Ending the Sustainable Growth Rate (SGR) formula for determining Medicare payments for health care providers’ services.
  2. Making a new framework for rewarding health care providers for giving better care not more just more care.
  3. Combining the existing quality reporting programs into one new system: The Quality Payment Program.

The Quality Payment Program has 2 paths that providers can use to report quality data to CMS:

  1. The Merit-Based Incentive Payment System (MIPS)
  2.  Advanced Alterative Payment Models (APMs)

AAPM&R Informational Posters (as seen at the Annual Assembly)

CMS Resources