Medicare Payment Under MACRA

The CMS payment model is designed to reward quality, rather than quantity, of care

The Medicare Access and CHIP Reauthorization Act (MACRA) incentivizes quality and coordinated care among clinicians who treat Medicare Part B patients. MACRA legislation introduced the Quality Payment Program (QPP), a new Medicare value-based reimbursement system that will impact Medicare reimbursement amounts beginning in 2019. Learn more about QPP and the final rule, released in October 2016.

MIPS Virtual Groups Now Open

Solo and small group physicians who'd like to report for the MIPS as part of a virtual group in 2018 must elect to do so by Dec. 1, 2017. Learn more in the CMS Virtual Groups Toolkit.

Get Started

MIPS Registry—Get Started Today

If you're doing 90-day reporting through the MIPS, register now with MIPS or SCG Health to begin reporting by the Oct. 2 deadline. Each clinical data registry is part of the AOA member value program and lets you select your measures and report to avoid a negative payment in 2019.

MIPS AIR

SCG Health

Hardship Exception Applications

If your practice struggles with Internet connectivity, extreme and uncontrollable circumstances, or a lack of control over the availability of certified EHR technology, you may qualify for a hardship exception from MACRA's Quality Payment Program.

Webinars

MACRA Planning Made Easy

Watch this on-demand webinar to learn how to create and execute a plan to maximize your MIPS performance score and potentially capture a bonus for exceptional performance in the program.

View webinar

Assistance for Doctors in Small, Rural and Underserved Areas

If you practice in a small or rural practice, or in an underserved community, CMS offers extra support and resources for participating in MACRA's Quality Payment Program, including the MIPS.

MIPS Navigator™

Available to AOA members, the MIPS Navigator™ is an online tool that allows you to easily sort through various MIPS alternatives and produce a "2017 MIPS Itinerary/Plan" designed to maximize your potential 2019 MIPS bonus.

4 reporting options for 2017 Video

With CMS announcing new flexibility for how physicians participate in MACRA in 2017, watch a video to understand the four options for data reporting physicians can choose from this year.

Is MIPS right for you?

The Merit-Based Incentive Payment System (MIPS) streamlines existing CMS reporting programs. Physicians will receive rewards or penalties based on how their scores compare to their peers' performance in four areas.

8 steps to succeed in MIPS

Unless you're exempt, you'll need to report for the MIPS starting in 2018, even if you're participating in an APM. You can get a head start by addressing weaknesses you spotted during previous CMS reporting programs.

Is an APM right for you?

Advanced Alternative Payment Models (APMs) offer a 5% bonus from 2019 to 2024. APMs also require practices to take on two-sided financial risk.

Is There a Primary Care APM?

Primary care physicians can apply to take part in the CPC+ primary care Advanced Alternative Payment Model (APM). CMS accepts applications from physicians in specified regions of the country.

What's the MACRA timeline?

Learn how your pay will differ in the long term based on whether you participate in the Merit-Based Incentive Payment System (MIPS) or join an advanced Alternative Payment Model (APM).

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