The Medicare Access & CHIP Reauthorization Act of 2015 (MACRA) supports the transition from fee-for-service payments to payments based on quality and value. Based on this legislation, the Centers for Medicare & Medicaid Services established the Quality Payment Program.
The Quality Payment Program (QPP) will reform Medicare Part B payments for more than 600,000 clinicians and improve care across the entire health care delivery system. Clinicians have two tracks to choose from: the Merit-based Incentive Payment System (MIPS) OR the Advanced Alternate Payment Models (APMs).
The PQRS was one of several long-term quality initiatives developed by the Centers for Medicare and Medicaid Services (CMS). It intended to, among other things, obtain information on the quality of care across the healthcare system. Specifically, the program collected data submitted by Eligible Professionals (EP) on quality measures for covered services provided to Medicare part B fee for service (FFS) beneficiaries.
Choosing Wisely aims to promote conversations between physicians and patients by helping patients choose care that is supported by evidence not duplicative of other tests or procedures already received, free from harm, and truly necessary.