QPPintro

QPP Analytics

CMS Solution’s Quality Payment Program supports practices in determining eligibility for participation in MIPS or AMPs. Our data analytics services aggregates targeted data to determine level of quality care and compliance. We assist our clients with data submission according to QPP guidelines. Our Healthcare Data Analytics help identify quality improvement opportunities. Successful providers receive quality incentive payments.

About Quality Payment Programs

CMS Solutions’ Quality Improvement Management (QIM) consulting and Healthcare Data & Analytics (HDA) services makes participation simple.

Quality Payment Programs (QPP) reward health care providers with incentive payments for the quality of care they give to patients/members with Medicare. These programs are part of Centers for Medicare and Medicare’s larger quality strategy to reform how health care is delivered and paid for. Value-based programs also support a three-part aim:

  • Better care for individuals
  • Better health for populations
  • Lower cost

The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) is a bipartisan legislation signed into law on April 16, 2015. MACRA created the Quality Payment Program which repeals the Sustainable Growth Rate formula, changes the way that Medicare rewards clinicians for value over volume. It streamlines multiple quality programs under the new Merit Based Incentive Payments System (MIPS) and gives bonus payments for participation in eligible alternative payment models (APMs).

“Now, we are able to reward high value, high quality Medicare clinicians with payment increases – while at the same time reducing payments to those clinicians who aren’t meeting performance standards.”

January 1, 2017, the Centers for Medicare and Medicaid initiated  the Quality Payment Program to reward high value, high quality Medicare clinicians with payment increases – while at the same time reducing payments to those clinicians who aren’t meeting performance standards.

Seeking to improve Medicare by helping clinicians focus on caring for their patients rather than filling out paperwork, CMS makes a statement to continue to listen and take steps towards reducing burdens for clinicians, and improving health outcomes for Medicare patients.

MACRA

Under the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), the Quality Payment Program Has Two Participation Tracks

Merit-based Incentive Payment System

In MIPS, you may earn performance-based payment adjustments for the services you provide to Medicare patients.

Alternative Payment Model

An APM is a customized payment approach developed by CMS, often designed to provide incentives to clinicians who are providing high-quality, high value care. APMs can focus on specific clinical conditions, care episodes, or populations.