The Medicare Access and CHIP Reauthorization Act (MACRA) is a law that significantly changed how the federal government pays physicians. Passage of the law permanently repealed the flawed sustainable growth rate (SGR) and set up the two-track Quality Payment Program (QPP) that emphasizes value-based payment.
Find answers to frequently asked questions related to MACRA.
MIPS and AAPMs are collectively referred to as the Quality Payment Program (QPP). Physicians will choose between two Medicare payment tracks: the Merit-based Incentive Payment System (MIPS) track or the Advanced Alternative Payment Model (AAPM) track.
MIPS adjusts payment based on performance in four performance categories—quality, cost, promoting interoperability, and improvement activities.
AAPMs offer incentives to provide high-quality, cost-effective care. There are currently five AAPMs for primary care.
It is important for employed physicians to be informed about the QPP and how their organization participates (e.g., through MIPS or an AAPM). How an organization participates and performs in the QPP can have an impact on an employed physician’s Medicare payments.
Will the eligible clinicians in your practice report as a group or as individuals?
Download the Making Sense of MACRA: A Guide for the Employed Physician Supplement»
Know your practice's QPP reporting strategy and how your performance will be measured.
Download the Making Sense of MACRA: Questions to Ask Your Employer»
Provide Medicare wellness and care coordination services to optimize fee-for-service revenue, improve quality, and decrease total cost of care. Services include: