Quality Payment Program

The Medicare Accessibility and CHIP Reauthorization Act (MACRA) introduced several changes to the physician reimbursement framework. MACRA replaced the Sustainable Growth Rate formula with the Quality Payment Program (QPP) to provide incentives that emphasize value and quality of care over volume. The QPP incorporates three existing quality reporting programs (PQRS, Value-Based Payment Modifier and Medicare EHR Incentive Program/Meaningful Use) and adds a fourth category, Improvement Activities, into one program.

Under the QPP, clinicians can participate in either the Merit-based Incentive Payment System (MIPS) or in Advanced Alternative Payment Models (APMs) to avoid downward payment adjustments and potentially receive upward adjustments. CMS estimates for the first few performance years a majority of clinicians will follow the MIPS track.

Read MIPS Overview

Use our MIPS calculator to understand your options under QPP and to develop your MIPS participation plan.

Quality Measures Most Relevant to Radiology


MACRA: Implications for the Practicing Radiologist

MACRA and QPP Tools

MACRA Resources


Stay informed on MACRA implementation and take steps to thrive in new payment and delivery models.

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Patient- and Family-Centered Care

Enhance your participation in new practice and payment models to help you provide more patient- and family-centered care.

Find Out How