May 1, 2020 • Article
Preparing for arrival of CMS Quality Payment Program year 4
BY CHRISTOPHER J. SMOLOCK, MD, PATRICK RYAN, MD, KAREN WOO, MD, AND JILL RATHBURN
It’s here: 2020 is year four of the Quality Payment Program (QPP), established by the Medicare Access and Children’s Health Insurance Program Reauthorization Act (MACRA) in 2015. QPP requires that most physicians who submit claims to the Centers for Medicare and Medicaid Services (CMS) participate in one of two programs to avoid a reimbursement penalty: the Merit-based Incentive Payment System (MIPS) or an Advanced Alternative Payment Model (APM).