The Quality Payment Program, or QPP, was created through the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) and reforms Medicare Part B payments for more than 600,000 clinicians in all areas of health care. The program's objectives include improving beneficiary outcomes, reducing burden on clinicians, increasing adoption of Advanced APMs and maximizing participation within them, improving data and information sharing, ensuring operational excellence in implementing programs, and delivering technology capabilities that meet the needs of the users.
4 Things PTs Need to Know About the Quality Payment Program (QPP)
MACRA required CMS to implement an incentive program, referred to as the Quality Payment Program (QPP). QPP contains 2 participation tracks:
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Merit-based Incentive Payment System (MIPS)
MIPS is the first track under QPP and is a performance-based payment system that streamlines several Medicare programs. The Physician Quality Reporting System, or PQRS, is now the MIPS Quality category. The value-based payment modifier program is now the Cost category, and the EHR incentive program, or meaningful use, is the Advancing Care Information category.
Advanced Alternative Payment Modles (APMs)
Advanced APMs are the second track under QPP and enable clinicians and practices to earn greater rewards for taking on some risk related to their patients' outcomes. These models will be structured to include MIPS-like quality measures, while serving a unique patient population with efficient and high quality care.
- Value-Based Care Podcast Series
APTA's comprehensive podcast series explains the move toward value-based care and how physical therapists can participate in the Quality Payment Program (QPP). Includes information on MIPS and APMs.
- Value-Based Care: Self-Assessment Quiz
Take a quick 3-question quiz to identify where you are in the continuum of health care payment reform.
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