MACRA Resource Center

  • What Is MACRA?

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    Congress passed the Medicare Access and CHIP Reauthorization Act (MACRA) on April 16, 2015, which repealed the Sustainable Growth Rate (SGR) formula used to determine Medicare physician fee-for-service payments. 

    In SGR’s place, MACRA requires physicians to choose between two major payment tracks: the fee-for-service Merit-Based Incentive Payment System (MIPS), and advanced alternative payment models (APMs). To do this, the Centers for Medicare & Medicaid Services (CMS) created the Quality Payment Program (QPP) to implement the two tracks for physicians and other eligible clinicians.

    The QPP is an annual program that affects Medicare payment two years later. The first QPP performance year was Jan. 1 -  Dec. 31, 2017. Physicians required to participate in the 2017 QPP must submit data to CMS by March 31, 2018.

  • Check Your 2017 QPP Participation Status

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    To see if you’re exempt from having to submit data for the 2017 QPP performance year, check the MIPS lookup tool. If you’re not exempt, check the list of 53 Texas counties to see if you qualify for a separate MIPS exemption. If you participated in an advanced APM in 2017, check the APM lookup tool.

  • Send 2017 QPP Data By March 31


    All data for the 2017 QPP performance year must be reported to CMS by March 31. If you’re required to participate in the 2017 MIPS track, take action now to avoid a 4-percent Medicare payment penalty in 2019. If you participated in the advanced APM track in 2017, contact your APM administrator to ensure all required data specific to your model will be sent to CMS on your behalf.

    QPP Reporting Deadlines:

    Looking for easy steps? Check out How to Submit the Bare Minimum to Avoid 2019 MIPS Penalty.

    After you or your vendor sends data to CMS, check your performance scores on the QPP portal

    How to Send 2017 Data

  • Get MACRA-Ready With TMA Services

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    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. 

    Get TMA Practice Help
  • You Have MACRA Questions? TMA Has Answers.


    The Physicians Advocacy Institute, in collaboration with health care consulting firm Healthsperien and TMA, created a MACRA Quality Payment Program education initiative. Visit the MACRA QPP Resource Center to get answers to your questions and access free resources.

    Get the Details  
  • Free QPP Support from TMF Health Quality Institute

  • MACRA QPP Webinars and CME

    Learn about MACRA and the QPP and earn CME credits. 

    MACRA QPP CME at TexMed 2018:

    Quality Payment Program Overview free CME

    Quality Payment Program in 2017: Pick Your Pace free CME

    MACRA and Medicare — Get Clarity and Direction! CME at discounted rate

    MACRA Penalties: Neutralize Them With New Revenue CME at discounted rate

    MACRA QPP Webinars free CME (for some webinars)

  • TMA MACRA News and Advocacy

    Fed Up With the MIPS Burdens? Tell the Feds Texas Medicine Today, Feb. 28, 2018

    MIPS is Dead, MIPS is Dead; Well, Not Quite Blogged Arteries, Feb. 20, 2018

    Five Things to Know As QPP Deadlines Approach Texas Medicine Today, Feb. 15, 2018  

    All of a Sudden, One Month Less for Claims-Based MIPS Reporting Texas Medicine Today, Feb. 14, 2018

    TMA Takes Physicians’ Grievances to Washington Texas Medicine Today, Feb. 14, 2018

    Budget Deal Includes Big Health Care Changes Texas Medicine Today, Feb. 9, 2018

    Medicare Payments Cut? Apply for a Reconsideration Now Texas Medicine Today, Feb. 7, 2018

    EHR Dashboard May Not Tell You Everything Texas Medicine Today, Jan. 30, 2018

    Get a Medicare Bonus With New Bundled Payment Model Texas Medicine Today, Jan. 23, 2018

    Very Few U.S. Physicians to See Medicare Bonuses This Year Texas Medicine Today, Jan. 19, 2018

    MEDPAC to Congress: Get Rid of MIPS Texas Medicine Today, Jan 12, 2018

    Medicare Streamlines QPP Submission Process Texas Medicine Today, Jan. 12, 2018

    Take Action Now to Avoid 2019 Medicare Payment Penalty  Texas Medicine Today, Jan. 4, 2018

    TMA Convinces CMS to Give Harvey-Affected Physicians a Break Texas Medicine Today, Jan. 4, 2018

    New Tools Available to Submit MIPS Data Successfully Action, Dec. 15, 2017

    TMA Wins MIPS Exemption for Many Harvey-Affected Practices Action, Dec. 15, 2017

    Are You Exempt From MIPS in 2018? Action, Nov.15, 2017

    New MIPS Option Now Available Action, Nov. 1, 2017


    Read More About MACRA

  • MACRA Help From the Feds

    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.

    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


    TMA is helping to strengthen your practice by offering advice and creating a climate of medical success across the state. 

  • What could a TMA membership mean for you, your practice, and your patients?