The Medicare Access and CHIP Reauthorization Act of 2015, commonly referred to as MACRA, introduces a new Medicare physician payment system called the Quality Payment Program (QPP).

The QPP is comprised of two pathways in which clinicians will participate in order to receive Medicare payment: the Merit-Based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (APMs). Most clinicians will participate in MIPS, which bundles the Physician Quality Reporting System, the Value Modifier and the Electronic Health Record (EHR) Incentive Program into one program. The Advanced APM track provides incentives for clinicians who participate in new payment models that incorporate financial risk.

Regardless of which pathway in which a clinician participates, he/she will be measured on four core components: QualityImprovement ActivitiesAdvancing Care Information and Cost. Under MIPS, these components make up the categories that comprise a clinician’s or group’s MIPS composite score. Under the Advanced APM track, these elements are incorporated into the way a specific model is designed and assessed.  

MACRA: Four core components: quality, clinical practice improvement activities (CPIA), meaningful use of certified EHRs and resource use.

Learn about other components of MACRA and how they will impact your practice »

Quality Payment Program Information

Merit-Based Incentive Payment System

Advanced Alternative Payment Models


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