Quality Payment Program

The Medicare value-based reimbursement system


The Quality Payment Program improves Medicare by helping you focus on care quality and the one thing that matters most — making patients healthier.

The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) ended the Sustainable Growth Rate formula, which threatened clinicians participating in Medicare with potential payment cliffs for 13 years. If you participate in Medicare Part B, you are part of the dedicated team of clinicians who serve more than 55 million of the country’s most vulnerable people, and the Quality Payment Program will provide new tools and resources to help you give your patients the best possible care. 

You can choose how you want to participate based on your practice size, specialty, location, or patient population.

The Quality Payment Program has two tracks you can choose:
  • Advanced Alternative Payment Models (APMs) or
  • The Merit-based Incentive Payment System (MIPS)
 
CMS has information available about the Quality Payment Program and your options on a comprehensive site. You will find education resources as well as resources for developers.

Learn about the program