 Alongside the shift to value-based care, the method for provider reimbursement is being revamped with an effort to consolidate several quality programs into one, leaving us with an “acronym soup” that can be mind-boggling. In October 2016, the Centers for Medicare & Medicaid (CMS) published the final Quality Payment Program (QPP) as part of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), which replaces the Medicare sustainable growth rate (SGR) formula and changes the way providers are reimbursed. This was the first year of performance tracking, and data submitted will be used to determine 2019 payment adjustments.
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