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What is MACRA or Quality Payment Program (QPP) for Medicare Providers?

Updated: 10/21/2019
Views: 2139

MACRA stands for Medicare Access and CHIP Reauthorization Act and outlines the Quality Payment Program (QPP) coming into effect on January 1, 2017. MACRA signals a major shift in the US healthcare industry towards a value-based payment system. MACRA also replaces and consolidates previous incentive programs like PQRS and Meaningful Use under the new MACRA umbrella for Medicare providers. In 2017, eligible providers under MACRA will see Medicare payment adjustments ranging from -4% to +4% and adjustments increase year-over-year.

The following provider types are eligible to participate in the QPP:

  • Physician (Doctors of Medicine or Osteopathy, Doctors of Dental Surgery or Dental Medicine, Doctors of Podiatric Medicine, Doctors of Optometry, Chiropractors)
  • Physician Assistant
  • Nurse Practitioner
  • Clinical Nurse Specialist
  • Certified Registered Nurse Anesthetist

MACRA Quality Payment Program Eligibility Assessment

Find out if you will participate in QPP via the MIPS or Advanced APMs track or are excluded from QPP altogether by entering your NPI in the MIPS Participation Status here.

If you are eligible to participate in the QPP, you may choose to participate via the MIPS or Advanced APMs track. Click the link for more details on participation and reporting.


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