1. MACRA
Quality Payment Program
Navigating the Quality Payment Program (QPP) The New Medicare Physician Payment System
Christian Shalgian | Director
Division of Advocacy and Health Policy

2. Background Medicare has been paying based on volume
Increased volume led to instability
Every year, Congress was forced to make modifications to keep the program functioning
Quality Payment Program
Navigating the Quality Payment Program (QPP)

3. Federal Programs Created in the Past Five Years
Physician Quality Reporting System (PQRS)
Electronic Health Record Incentive Program (EHR Meaningful Use)
Value-Based Modifier (VBM)
Quality Payment Program
Navigating the Quality Payment Program (QPP)

4. MACRA
April 2015 – Medicare Access and CHIP Reauthorization Act (MACRA) signed into law
Repeals the broken Sustainable Growth Rate and replaces it with the Quality Payment Program (QPP)
Changes the manner in which Medicare pays doctors… Moving toward value over volume
Streamlines the Federal programs (PQRS, EHR Meaningful Use, and the Value-Based Modifier) into one larger, unified program
Quality Payment Program
Navigating the Quality Payment Program (QPP)

5. Quality Payment Program (QPP)
Two Tracks
Merit-based Incentive Payment System (MIPS)
“Advanced” Alternative Payment Models (APMs)
Quality Payment Program
Navigating the Quality Payment Program (QPP)

6. ACS QPP Video Series
Explains the Merit-based Incentive Payment System (MIPS)
MIPS: “Pick Your Pace” for the Transition Year
MIPS Quality Component
MIPS Advancing Care Information Component
MIPS Improvement Activities Component
Quality Payment Program
Navigating the Quality Payment Program (QPP)