What Is QPP? Understanding the Quality Payment Program (1)

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What Is QPP? Understanding the Quality Payment
Program
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• The Quality Payment Program (QPP) is a vital
  initiative aimed at transforming how Medicare
  providers are reimbursed for services rendered to
  Medicare beneficiaries. Established under the
  Medicare Access and CHIP Reauthorization Act
  (MACRA) in 2015, the QPP replaced the outdated
  Sustainable Growth Rate (SGR) formula.
• The program incentivizes high-quality care rather
  than simply compensating for the quantity of
  services provided. This shift reflects a growing
  trend toward value-based care, ensuring that
  Medicare beneficiaries receive efficient,
  patient-centered treatment.

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• For small medical practice owners, the QPP can be
  an opportunity to improve care quality and
  enhance financial sustainability. However,
  navigating the complexities of the program
  requires a solid understanding of its components
  and requirements.
• What Is the Quality Payment Program?
• The QPP is designed for Medicare providers and
  divides participants into two tracks

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• Merit-based Incentive Payment System (MIPS)
• This track measures clinicians based on four
  categories
• Quality
• Cost
• Improvement Activities
• Promoting Interoperability
• MIPS-eligible clinicians, such as physicians,
  nurse practitioners, and physician assistants,
  are scored annually. Their scores influence
  future Medicare paymentspositive scores can lead
  to bonuses, while negative scores may result in
  penalties.

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Advanced Alternative Payment Models (APMs)

• This track involves participating in risk-bearing
  payment models that focus on specific populations
  or conditions. Practices participating in
  advanced alternative payment models take on more
  financial risk but can earn greater rewards for
  achieving quality and cost targets.
• To read our full blog, click here
  https//pmninc.biz/what-is-qpp-understanding-the-q
  uality-payment-program/