The Medicare Accessibility and CHIP Reauthorization Act (MACRA) was signed into law in April 2015 and introduces several changes to the current physician reimbursement framework. MACRA repeals the Sustainable Growth Rate formula and replaces it with a payment method that incentives value and quality of care over volume. It also streamlines three existing quality reporting programs (PQRS, Value-Based Payment Modifier and Medicare EHR Incentive Program) and a fourth (Clinical Practice Improvement Activities) into a single program known as the Quality Payment Program.

Clinicians can participate in the Merit-based Incentive Payment System (MIPS) or in Advanced Alternative Payment Models (APMs) in order to avoid downward payment adjustments and potentially receive upward adjustments. The performance period for MIPS begins January 1, 2017, and the first payment adjustments will be applied in 2019.


What's New?

Download the 2018 Virtual Groups Toolkit (zip).

As proposed in the CY 2018 Quality Payment Program proposed rule, if you’re a solo practitioner or a group with 10 or fewer eligible clinicians who participates in the Merit-based Incentive Payment System (MIPS) as a virtual group, you’ll need to engage in an election process. We intend to provide technical assistance, to the extent feasible and appropriate, to help you with the election process. The election period for virtual groups to make an election is from October 11, 2017 to December 1, 2017.

QPP Resources



Upcoming Webinar: Making the Most of QCDR - Navigating the MIPS Portal
Thursday, October 19 1pm - 2pm ET | Register »