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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 2020. 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.
Alternative Payment Models
CMS is moving toward payment based on quality rather than quantity. Alternative payment models are at the forefront.
Access APM Resources
Merit-Based Incentive Programs
Learn about the three types of participation options under the Merit-Based Incentive Program.
Access MIPS ResourcesAdditional QPP Content
September 7, 2018 / Article
Recorded webinar - FREE and only offered to APTA membersDecember 4, 2018 / Article
This course provides insights into the New Year based on moving to value-based payment. Recorded webinar. Free to members.May 30, 2020 / Article
Recorded webinar from live Q & A (December 4, 2018)November 3, 2023 / News
The projected 3.4% cut is another indication that it's time for reform, but other APTA-backed provisions are good news for the profession.September 29, 2023 / News
APTA members are informing key decisions in a rapidly evolving area of health care regulation.July 28, 2023 / Article
MIPS reporting, value pathways, promoting interoperability, and more.November 30, 2022 / News
CMS has updated eligibility determinations based on the most recent reporting periods. Make sure you know where you stand.March 22, 2022 / News
Get your data in by the end of the month, or consider applying for a waiver due to "extreme and uncontrollable circumstances."May 25, 2021 / Review
Researchers put price tags on comorbidities associated with higher TJA costs and see risk adjustment as a way to counter 'cherry picking.'February 26, 2021 / News
CMS has reopened a window for an exceptions process that allows clinicians to reweight MIPS categories for the 2020 performance year.January 19, 2021 / News
The APTA Physical Therapy Outcomes Registry has been approved as a qualified clinical data registry — an important benefit for PTs in MIPS.December 22, 2020 / Resource
APTA provides details for the different MIPS participation and reporting options.Keep current on evidence-based practices.
Members have access to thousands of resources relevant to the clinical practice of physical therapy through APTA’s Article Search.
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