MACRA Final Rule creates a new Medicare Quality Payment Program with two "paths":
MIPS- Merit-based Incentive Payment System
- If you decide to participate in traditional Medicare Part B, then you will participate in MIPS where you earn a performance-based payment adjustment.
APM-Alternative Payment Models
- If you decide to participate in an Advanced APM, through Medicare Part B you may earn an incentive payment for participating in an innovative payment model.
Who is eligible to participate?
- Physicians
- PA's
- NP's
- CNS
- CRNA
Who is not able to participate?
- Hospitals/Medicare part A payments
- FQHCs/RHCs and Medicaid Providers (there is no dual eligible progam)
How can you be excluded from participation?
- You are a 1st year clinician
- You don't see patients
- You do less than 30K and/or have 100 Medicare patients
- You qualify for the Alternative Payment Model
