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 Resources
Additional QPP Content
September 7, 2018 / ArticleRecorded webinar - FREE and only offered to APTA members
December 4, 2018 / ArticleThis course provides insights into the New Year based on moving to value-based payment. Recorded webinar. Free to members.
May 30, 2020 / ArticleRecorded webinar from live Q & A (December 4, 2018)
November 30, 2022 / NewsCMS has updated eligibility determinations based on the most recent reporting periods. Make sure you know where you stand.
March 22, 2022 / NewsGet your data in by the end of the month, or consider applying for a waiver due to "extreme and uncontrollable circumstances."
May 25, 2021 / ReviewResearchers put price tags on comorbidities associated with higher TJA costs and see risk adjustment as a way to counter 'cherry picking.'
February 26, 2021 / NewsCMS has reopened a window for an exceptions process that allows clinicians to reweight MIPS categories for the 2020 performance year.
January 19, 2021 / NewsThe APTA Physical Therapy Outcomes Registry has been approved as a qualified clinical data registry — an important benefit for PTs in MIPS.
December 22, 2020 / ResourceAPTA provides details for the different MIPS participation and reporting options.
December 8, 2020 / ReviewLike the proposed version, the final rule from CMS keeps the Quality Payment Program mostly as-is.
August 7, 2020 / ReviewThe Quality Payment Program would see mostly minor changes and some shifts to respond to COVID-19-related challenges.
August 7, 2020 / NewsCMS has released its MIPS scores for your 2019 performance, which could affect your payment in 2021.
Keep current on evidence-based practices.
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