Take Advantage of the Medicare Access and CHIP Reauthorization Act (MACRA). Effective 2017 through 2019.
The Quality Payment Program makes Medicare better by helping you focus on care quality and the one thing that matters most – making patients healthier. The Quality Payment Program gives you new tools, models, and resources to help you give your patients the best possible care. You can choose how you want to take part based on your practice size, specialty, location, or patient population.
The Quality Payment Program has 2 tracks you can choose from:
- Merit-based Incentive Payment System (MIPS)
- Advanced Alternative Payment Models (APMs).
MIPS:
Rolls existing quality programs (Physician Quality Reporting System, Value-Based Payment Modifier, and Meaningful Use) into one budget-neutral program where providers are scored on quality, cost, improvement activities, and EHR2 use, and assigned payment adjustment accordingly.
APM:
Rewards providers with a 5% annual bonus from 2019-2024 if they have a significant share of their Medicare revenue and/or patients in contracts that include two-sided payment risk (e.g. Next Generation ACO program).
Merit -Based Incentive Payment System (MIPS) Reporting Requirements
Physicians qualifying under the MIPS (Nearly 90% eligible clinicians will likely be subject to the MIPS track for payment in 2019) are required to report under four performance categories:
- Quality
- Resource Use
- Clinical Practice Improvement Activities
- Advancing Care Information
Information about government incentives and meaningful use can be found at www.cms.gov/EHRIncentivePrograms. Please visit this website to see how the EMR/EHR Incentive program applies to your specific situation.