CMS Quality Payment Programs

CMS Quality Payment Programs are a key element of CMS’ effort to transform the Medicare system from a “Pay for Volume” model to “Pay for Value”. The Quality Payment Programs include Alternative Payment Models (APMs) such as ACOs and Patient Centered Medical Homes (PCMH). For physician practices not participating in an APM, the Merit-Based Incentive Payment System (MIPS) will apply. MIPS, which will be effective 1/1/2017, incorporates the legacy Meaningful Use, PQRS and Value Modifier programs.