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
Summary: 2019 Medicare Physician Fee Schedule and Quality Payment Program Final Rule
AMA summary of the Final Rule for the Medicare Access and CHIP Reauthorization Act (MACRA)
Overview of advocacy results on major MACRA Rule provisions
QPP resources
Quality Payment Program (QPP) requirements
2018 Medicare Quality Payment program: technical assistance
Value-based Care models: Deep dive FAQ for hospital-affiliated physicians
Value-based Care models: FAQ for physicians practicing in academic medical centers
AMA STEPS Forward™: 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.
Podcasts: Inside Medicare's new payment model
External links
Determine MIPS eligibility with CMS' tool
Results from the KPMG-AMA Survey: Are physicians ready for MACRA/QPP?