Overview
The final rule of CMS (Centers for Medicare and Medicaid Services) as part of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) has been announced. QPP (Quality Payment Program), which was started in early 2017, combines recent Medicare Programs, PQRS (Physician Quality Reporting System), Value-Based Payment Modifier and Meaningful into a single program.
There are two tracks to choose from
MIPS
The Merit-based Incentive Payment System (MIPS)
Eligible Providers/Clinicians can earn a
performance-based payment adjustment through MIPS.
APMs
Advanced Alternative Payment Models (APMs)
Eligible Providers/Clinicians may earn a Medicare
incentive payment for participating in an innovative
payment model.
Advanced Alternative Payment Models (APMs)
An Alternative Payment Model (APM) is a payment approach that gives added incentive payments to provide high-quality and cost-efficient care. APMs can apply to a specific clinical condition, a care episode, or a population. Advanced APMs are a subset of APMs, and let practices earn more for taking on some risk related to their patients outcomes. You may earn a 5% incentive payment by going further in improving patient care and taking on risk through an Advanced APM.
ACOs
Accountable care organizations
Bundles
Bundled payment models
Medical Homes
Patient-centered medical homes
Financial Impact of MIPS Reporting Over Time
For more details and to book an appointment please contact our Consultant at 833 697 6367
Click to learn more about QPP program, or to explore measures.