MACRA/Quality Payment Program

The Medicare Access and Chip Reauthorization Act of 2015 (MACRA), signed into law on April 16, 2015, repealed the flawed sustainable growth rate formula and set in motion a new future for Medicare payments including predictable, positive payment updates, as well as two new, separate pathways to value-based reimbursement: the Merit-based Incentive Payment System (MIPS) and alternative payment models (APMs). Collectively, MIPS and APMs are referred to as the Quality Payment Program (QPP). 

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CMS Resources

2017 MIPS Information:

2017 MIPS Measure-Specific Information:

2017 APM Information:

Quality Payment Program Overview:

 

MGMA Advocacy

  • MGMA joins several provider organizations urging CMS to include group practices in APMs with Medicare Advantage plans in the APM track of MACRA
  • MGMA submits comments calling on CMS to pilot test new QPP episode-based cost measures through a voluntary program to mitigate any unintended consequences.
  • MGMA calls for immediate release of crucial 2017 MIPS eligibility information
  • MGMA comments on MIPS/APMs final rule
  • MGMA to CMS: Simplify proposed quality reporting program and expand APM pathway
  • MGMA submits comments on a request for information from CMS regarding implementation of MIPS and APM programs under MACRA
  • MGMA joins 37 other provider organizations in a letter urging CMS to include physician-led organizations and specialty societies in the clinical quality measures development process for the new Merit-based Incentive Payment System.
     

Review more of MGMA's past SGR advocacy efforts in our Advocacy Archive.

How we got here

Over the years, MGMA has persistently advocated for Congress to permanently repeal the SGR and put an end to temporary short-term patches. MGMA members lent their own critical support to the effort, engaging in years of influential grassroots campaigns.
MACRA was signed into law on April 16, 2015. The legislation averted a 21% cut to Medicare physician rates and permanently repealed the flawed SGR formula. MACRA had wide bipartisan, bicameral support, passing by large majorities in both the House of Representatives (392-37) and the Senate (92-8).

 

 

 

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