The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) provisions for CMS’ Quality Payment Program begin in January 2017. Eligible physicians and clinicians are required to participate or face negative payment adjustments beginning in 2019. One intent of MACRA is to consolidate the various Medicare quality measures (including PQRS and Meaningful Use) into one new Merit based Incentive Payment System (MIPS). Per CMS, MIPS allows clinicians to be paid for providing high quality care through measured success in four performance categories: Quality; Advancing Care Information (formerly MU); Clinical Practice Improvement; and, Cost. Clinicians’ MIPS scores will be used to compute a positive, negative or neutral adjustment to their Medicare Part B Payments. In the first year, adjustments will range from +/- 4%.
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