The Quality Payment Program was created by the Medicare Access and CHIP Reauthorization Act of 2015 and is a new approach to paying physicians and clinicians who treat Medicare beneficiaries. Under the Quality Payment Program, physicians and clinicians can choose from two payment paths: the Merit-based Incentive Payment System (MIPS) or the Advanced Alternative Payment Models (APMs).
The Centers for Medicare & Medicaid Services (CMS) merged aspects of the Physician Quality Reporting System, the Value Modifier Program and the Medicare Electronic Health Record Incentive Program to create MIPS. Beginning in 2019, MIPS will pay eligible clinicians for providing care based on four performance categories: Promoting Interoperability, Improvement Activities, Cost and Quality.
Join the Quality Payment Program Network
Our consultants work with eligible clinicians to help them report for MIPS and successfully advance through the program’s performance categories by providing technical assistance, education, outreach and distribution of learning modules. The TMF Quality Innovation Network supports practices with 16 or more clinicians throughout Arkansas, Missouri, Oklahoma, Puerto Rico and Texas. TMF also works under contract with CMS to assist clinicians in small (15 or fewer clinicians), rural and underserved practices in Arkansas, Colorado, Kansas, Louisiana, Mississippi, Missouri, Oklahoma, Puerto Rico and Texas.
We also support members of our network with quality reporting and identifying opportunities to improve care coordination and performance improvement on measures used in MIPS, which will enable a smooth transition later into the Advanced APMs.
Download this fact sheet (PDF) to learn more about the Quality Payment Program network. To join, create a free account and follow the prompts.