A variety of programs have been developed to address value-based care payment, including the Medicare Quality Payment Program (QPP).
Certain PTs in private practice will be required to participate in the QPP program through either the Merit-based Payment System (MIPS) OR Advanced Alternate Payment Models (APMs) beginning January 2019. Additionally, CMS has proposed to allow certain other PTs and physical therapy practices to opt in to the program, enabling them to earn incentive payments and to prepare for participation in Advanced APMs.
MIPS eligible clinicians, will be subject to a performance-based payment adjustment through MIPS. Learn more.
Use this decision tree to help you determine your status and options.
You may earn a Medicare incentive payment if you take part in an Advanced APM, for sufficiently participating in an innovative payment model. Learn more.
4 Things PTs Need to Know About the Quality Payment Program (QPP)
- 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.
APTA Fact Sheets, Summaries, and Comments