Health Affairs November 22, 2017
On November 2, 2017, the Centers for Medicare & Medicaid Services (CMS) released a final rule for the Quality Payment Program (QPP) program, which will enter its second year in 2018. Also known as MACRA (Medicare and Chip Access and Reauthorization Act of 2015), the 1,600-page-rule describes new physician payment policies for Medicare that to be implemented over the coming years. The Quality Payment Program is subdivided into two broad payment tracks—risk-bearing alternative payment models (APMs), such as downside risk Accountable Care Organizations (ACOs); and the Merit-Based Incentive Payment System, or MIPS, which amalgamates scores across four domains to adjust payments based on performance. Between those two options is an important hybrid track for ACOs and participants in other alternative...
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