A final rule released in 2018 (PDF) by the Centers for Medicare and Medicaid Services (CMS) detailed final regulations for implementation of the Quality Payment Program (QPP) in 2019. The QPP was created by the Medicare Access and CHIP Reauthorization Act (MACRA) and creates 2 payment pathways for physicians—alternative payment models (APMs) and the Merit-based Incentive Payment System (MIPS).
Summaries of proposed and final rules
- Summary: 2020 Medicare Physician Fee Schedule and Quality Payment Program Proposed Rule (PDF)
- Summary: 2019 Medicare Physician Fee Schedule and Quality Payment Program Final Rule (PDF)
- AMA Summary of the Final Rule for the Medicare Access and CHIP Reauthorization Act (MACRA) (PDF)
- 2018 Quality Payment Program Final Rule Highlights (PDF)
- AMA Summary of 2017 Quality Payment Program Proposed Rule (PDF)
- MACRA Frequently Asked Questions (PDF)
- Overview of Advocacy Results on Major MACRA Rule Provisions (PDF)
- CY 2018 updates to the Quality Payment Program (Federal Register)
- Medicare Alternative Payment Models (APMs)
- Merit-based Incentive Payment System (MIPS)
QPP resources
- Quality Payment Program (QPP) requirements (PPTX)
- 2018 Medicare Quality Payment program: technical assistance (PDF)
- 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)
AMA STEPS Forward™
- Practice Transformation Series learning module: Preparing your practice for Value-based Care
Podcasts: Inside Medicare's new payment model
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
- The Quality Payment Program in 2019: What to Know About Upgrading Your EHR
- 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...
- “Pick Your Pace” Options Under the CMS Quality Payment Program
- Work in a Hospital? Here’s What You Need to Know About MACRA
AMA related links
- QPP resources for small practices
- QPP resources by state & speciality
- QPP acronyms explained
- Check QPP's financial impact on your practice with AMA’s tool
- Understand how the AMA is helping to ease the transition
- 2018 updates to the Quality Payment Program (CMS-5522-P)
External links
- Determine MIPS eligibility (CMS tool)
- CMS education
- Results from the KPMG-AMA survey: Are physicians ready for MACRA/QPP?
