Quality Payment Program

Quality Payment Program

Quality Improvement through the Merit-based Incentive Payment System and Advanced Alternative Payment Models

The Medicare Access and CHIP Reauthorization Act of 2015 created a new approach to paying physicians and clinicians who treat Medicare beneficiaries, the Quality Payment Program. Under this program physicians and clinicians can choose from two payment paths: the Merit-based Incentive Payment System (MIPS) or the Advanced Alternative Payment Models.

The Centers for Medicare & Medicaid Services is merging aspects of the Physician Quality Reporting System, the Value Modifier Program and the Medicare Electronic Health Record Incentive Program to create MIPS. Beginning in 2019, MIPS will pay eligible physicians and clinicians for providing care based on four performance categories: advancing care information, clinical practice improvement activities, cost and quality.

Through the Quality Payment Program Network, TMF is working with eligible physicians and clinicians throughout Arkansas, Missouri, Oklahoma, Puerto Rico and Texas to help them transition to MIPS and successfully advance through the program’s performance categories by providing technical assistance, education, outreach and distribution of learning modules.

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Quality Payment Program