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Quality & Practice

Quality Payment Program

On October 14, 2016, a final rule was issued by the Centers for Medicare & Medicaid Services (CMS) that signifies 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 (QPP) will reform Medicare Part B payments and improve care across the health care delivery system. There are 2 paths that providers can choose and 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)

MACRA Reporting Options

MIPS reporting options

APM Poster

APM

MACRA Overview Poster

macra

MIPS Overview Poster

MIPS

CMS Resources