MACRA Resource Center

This resource center provides guidance and support to help you navigate the Quality Payment Program (QPP), avoid Medicare pay cuts, and earn incentives.

QPP is an annual Centers for Medicare & Medicaid Services program that affects Medicare payment two years later. 

Under QPP, and as required by the Medicare Access and CHIP Reauthorization Act (MACRA), physicians choose between:

• The Merit-Based Incentive Payment System (MIPS), where they are subject to an up or down 9% fee-for-service payment adjustment based on measures for quality, improvement activities, promoting interoperability, and cost; or
• An advanced APM where they are exempt from MIPS and may earn up to a 5% incentive payment, in addition to APM-specific rewards.

To find out if you are eligible and required to participate in MIPS, 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. 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 QPP timeline and stay on top of MIPS and APM deadlines, snapshots, and milestones.

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.