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MIPS/MACRA/ACI Participation

Quality Payment Program

The new Quality Payment Program (QPP) refers to two programs authorized by the Medicare Access and CHIP Reauthorization Act of 2015, the Merit Based Incentive Payment System (MIPS), and Advanced Alternative Payment Models (APMs). Most clinicians will be participating in MIPS because there are not as many APMs currently available. PCS-MS can help clinicians understand these changes.

Existing programs (PQRS, VBM and the Medicare Electronic Health Record Incentive Program) will end in 2018. However, CMS will incorporate components of these programs into new performance categories used to develop a composite performance score:

  • Quality Performance category incorporates components of PQRS
  • Resource Use Performance category incorporates components of the VBM
  • Clinical Practice Improvement Activities is a new performance category
  • Advancing Care Information will be linked to electronic health records.

One of the more important changes of the merit-based payment system is making reporting less onerous. 

As Medicare transforms from a passive payer to an active purchaser of higher quality, more efficient and effective healthcare, these changes can be confusing, but PCS-MS is here to help clinicians not only prepare for submission but also, make available clinical process improvement activities.

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