Learn More about MACRA and Medicare's New Quality Payment Program (January 2017)

January 2017 page 5 Learn More about MACRA and Medicare's New Quality Payment Program Under the Quality Payment Program (QPP) created by the Medicare Access and CHIP [Children's Health Insurance Program] Reauthorization Act (MACRA), there are two pathways offered to physicians for Medicare payment: A modified fee-for-service system known as the merit-based incentive payment system (MIPS), which is based on traditional Medicare Alternative payment models (APMs) Available Online Resources Physicians can choose the pathway that suits their practices best. Visit the American Medical Association's (AMA's) "Understanding Medicare payment reform" Web page to access a wide variety of helpful resources...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article introduces the Medicare Quality Payment Program created under MACRA and explains the broad pathways available to physicians. It also highlights educational and planning resources from professional and government organizations that may help practices understand Medicare payment reform, quality reporting, and practice improvement efforts. The piece is useful for physicians, practice managers, and coding or compliance staff who need a high-level orientation to the program and its support tools.

Why This Topic Matters

MACRA and the Quality Payment Program affected Medicare payment policy and practice operations, so a clear overview helps readers identify whether they need deeper guidance. The article also points to external resources that can support preparedness for reporting, payment reform, and technology planning.

What You Will Learn

  • What the Quality Payment Program is and how it relates to MACRA
  • What broad participation pathways are described for physicians
  • What kinds of online educational resources are available for practices
  • Where to find additional support materials from professional and government organizations

Who Should Read This

  • Physicians
  • Practice managers
  • Medical coders
  • Compliance staff
  • Healthcare administrators

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