This resource center provides guidance and support to help you navigate the Quality Payment Program (QPP), avoid Medicare pay cuts, and earn incentives.
The QPP is an annual program by the Centers for Medicare & Medicaid Services (CMS) that affects Medicare payment two years later. Under the QPP, physicians choose between the Merit-Based Incentive Payment System (MIPS) and alternative payment model (APM) tracks as required by the Medicare Access and CHIP Reauthorization Act (MACRA).
The objective of the program is to incentivize physicians to improve care, advance health care information, and reduce costs.
Physicians who participate in MIPS in 2020 will be paid fee-for-service with payment adjustments (+/-9%) in 2022 based on performance in four MIPS categories: quality, improvement activities, promoting interoperability, and cost.
Physicians who take part in an advanced APM in 2020 are exempt from MIPS and may earn a 5% incentive payment in 2022 for participating in an innovative payment model, in addition to APM-specific rewards.
To find out if you are eligible and required to participate in MIPS for the 2020 QPP performance year, check the QPP lookup tool. When you review your profile, take note of any designation assigned to you under “other reporting factors” (e.g., small practice, rural practice, health professional shortage area, facility-based) and learn what these factors mean to your practice. Physicians required to participate in the 2020 QPP must submit data to CMS by March 31, 2021. If you have questions about your participation status, contact the QPP Service Center at (866) 288-8292, or by email at QPP[at]cms[dot]hhs[dot]gov.
Review the full 2020 QPP timeline and stay on top of MIPS and APM deadlines, snapshots, and milestones.
TMA Practice Consulting offers quality improvement services to help prepare physician practices for MACRA. TMA's practice management consultants can conduct a MACRA readiness assessment of your practice and provide customized on-site assistance to help you with your practice's specific needs.
The Physicians Advocacy Institute offers a MACRA QPP physician education initiative and separate resource center to make the program easier to understand. The website is free, designed for all levels of physician knowledge on the MACRA QPP, and complements TMA’s MACRA Resource Center. Visit the MACRA QPP Resource Center to access free resources and subscribe to the QPP Roundup newsletter.
TMF provides free guidance and support for all aspects of the MIPS track. TMF QPP experts help physicians understand MIPS reporting requirements and develop strategies to meet performance goals.
Call 1-844-317-7609 or live chat Monday through Friday, 8 a.m. to 5 p.m. CT, to speak with a TMF QPP consultant.
Learn about MACRA and the QPP and earn CME credits.
CMS Quality Payment Program Webinar Library
TMF Quality Payment Program Webinars
Learn about the Quality Payment Program using TMA, American Medical Association, and CMS resources and tools.
Texas Medical Association
Medicare QPP Physician Education Initiative
Alphabet Soup: A MACRA Glossary and Acronym Guide
American Medical Association
Medicare Quality Payment Program
Centers for Medicare & Medicaid Services
Quality Payment Program: Merit-based Incentive Payment System and Alternative Payment Models
U.S. Department of Health & Human Services
How to Propose Your Own Physician-Focused Payment Model under MACRA
Submit 2020 Data Now to Avoid Medicare Pay Cut Texas Medicine Today, Feb. 24, 2021
Review Your Physician Compare Data Now Texas Medicine Today, Jan. 29, 2021
The Customer Is Always Right? Patient-Reported Outcome Measures Have Fans and Detractors Texas Medicine, Jan. 2021
Medicare Freezes Thresholds for MIPS Exemption Texas Medicine Today, Jan. 22, 2021
Help TMA Standardize Quality Measures in Value-Based Care Texas Medicine Today, Dec. 18, 2020
Do Your Security Risk Assessment Before Dec. 31 Texas Medicine Today, Dec.3, 2020
2020 MIPS Data Submission Deadlines Approaching Texas Medicine Today, Dec. 2, 2020
Last Chance to Start Certain 2020 MIPS Reporting Tomorrow Texas Medicine Today, Oct. 2, 2020
Didn’t Get Your 5% APM Incentive Payment? Take Action by Nov. 13 Texas Medicine Today, Sept. 23, 2020
A Social Shift: COVID-19 Disparities Prompt Emphasis on Value-Based Care Texas Medicine, Sept. 2020
Going Nowhere: APM Committee Resignations Cast Doubt on Payment Models' Future Texas Medicine, April 2020
Check For 2019 MIPS Errors, File Targeted Review by Oct. 5 Texas Medicine Today, Sept. 21, 2020
Get MIPS Credit for Participating in COVID-19 Clinical Trials Texas Medicine Today, April 21, 2020
Apply by April 30 to Avoid a 7% MIPS Payment Penalty Texas Medicine Today, Apr. 20, 2020
CMS Postpones 2019 MIPS Reporting Deadline to April 30 Texas Medicine Today, Mar. 23, 2020
Deadline: Claim Your 5% Medicare Bonus by Feb. 28 Texas Medicine Today, Jan. 21, 2020
An Unfair Game: Quality Payment Program Rules Still Stacked Against Physicians Texas Medicine, Jan. 1, 2020
AMA House Rejects MIPS Plan Texas Medicine Today, Nov. 20, 2019
Read More About MACRA
Explore the list of federally funded initiatives to help you transition to MIPS or APMs. All services are available to physicians and group practices at no or low cost.
CMS Quality Payment Program Help and Support
Quality Payment Program – Small, Underserved, & Rural Support
TMF Quality Payment Program Network
Transforming Clinical Practice Initiative
Health Care Payment Learning and Action Network
The Innovation Center’s Learning Systems
Participate in MACRA activities, propose your own measures and activities, or give feedback.
Sign Up for Feedback Sessions to Improve the QPP Website - Include the subject line: "Yes, I would like to help CMS improve the QPP website"
Participate in Field Testing and Provide Feedback on Cost Measures
Participate in Study on Quality Reporting Burdens and Get MIPS Credit
Propose MIPS Measures and Improvement Activities for Consideration
Participate in Clinical Subcommittees to Develop MACRA Episode-Based Cost Measures
Participate in CMS Measure Development Testing Related to Clinician Referrals
Comment on Physician-Focused Payment Model Proposals
Promoting Interoperability (PI) Resource Center
TMA EHR Adoption Resources
Got MACRA questions, call or email the Knowledge Center
To help you get the best information possible, TMA has identified direct links to MACRA news, resource centers, education, and advocacy from national specialty societies. Visit your specialty society online for information specific to your specialty, setting, and practice.
See our list.
Subscribe to Centers for Medicare & Medicaid Services (CMS) email lists to stay informed of new policies or changes to relevant Medicare programs and for the latest MACRA information. Stay up to date with MACRA deadlines and compliance dates by visiting TMA’s Deadlines for Doctors.
QPP Email Updates
CMS EHR Incentive Program Listserv
Medicare Learning Network National Provider Calls and Events
CMS Open Door Forums