Quality Payment Program (QPP) specifics

The QPP was created by the Medicare Access and CHIP Reauthorization Act (MACRA) and creates two payment pathways for physicians—alternative payment models (APMs) and the Merit-based Incentive Payment System (MIPS).

• Summary: 2023 Medicare Physician Payment Schedule and Quality Payment Program Proposed Rule (PDF)
• Summary: 2021 Medicare Physician Payment Schedule and Quality Payment Program Final Rule (PDF)
• MACRA Frequently Asked Questions (PDF)
• Overview of Advocacy Results on Major MACRA Rule Provisions (PDF)
• Medicare Alternative Payment Models (APMs)
• Merit-based Incentive Payment System (MIPS)

• Value-based Care models: Deep dive FAQ for hospital-affiliated physicians (PDF)
• Value-based Care models: FAQ for physicians practicing in academic medical centers (PDF)

• Practice Transformation Series learning module: Preparing your practice for Value-based Care

Listen to industry experts and physician leaders discuss topics such as new payment models and quality reporting in this podcast interview series from ReachMD™ and the AMA. Recent interviews include the following podcasts:

• What Do the Updated Medicare Payment Policies Mean for You? (with Barbara L McAneny, MD)
• Easing the Burden of Medicare Documentation Guidelines
• Work in a Hospital? Here’s What You Need to Know About MIPS
• Get the Breakdown on How Costs Are Measured Under MIPS
• What is a Virtual Group Under MACRA and Why Should You Join One
• How Physician Focused APMs Aim to Overcome Challenges
• What Are Your Quality Reporting Options?
• What Are Physician-focused Payment Models?
• MACRA Issues for Physicians in Small Practices
• What We Need to Know About Qualified Clinical Data Registries (QCDRs)
• Why Participating in Clinical Practice Improvement Activities (CPIA) Matters
• How an EHR Can Help You Participate in MACRA
• Preparing for Quality Reporting: Keys to Keeping Your Practice on Track
• Are We Prepared for MACRA and the Quality Payment Program? The Survey Says...
• Work in a Hospital? Here’s What You Need to Know About MACRA

• QPP resources for small practices
• QPP resources by state & specialty
• QPP acronyms explained
• Understand how the AMA is helping to ease the transition

• Determine MIPS eligibility (CMS tool)
• CMS education
• Results from the KPMG-AMA survey: Are physicians ready for MACRA/QPP?