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MACRA and the New Quality Payment Program

The Quality Payment Program (QPP) was created by the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015. The QPP transforms the Medicare physician payment system from one focused on volume to one focused on value.

Featured CMS released the final rule on Oct. 14, 2016. Read ACP's statement on the final rule. Additionally, you can read ACP's detailed analysis and comments on the final rule.

10 Things You Need to Do

Updated March 2017

1. Learn about the "new" Medicare Quality Payment Program (QPP), including the two major pathways of the Merit-Based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (APMs), from ACP.

2. Make a decision about your “pace” of participation in 2017 for QPP. Are you or your practice ready for a full year of reporting?  Or do you want to simply test the waters?

3. Use ACP’s Quality Payment Advisor (ACP members only) to select the best options for you and your practice. (Coming Soon)


Questions and Answers

Q: What is MACRA?
A: The Medicare Access and CHIP Reauthorization Act of 2015 was signed into law on April 16, 2015, and became final in October 2016... more

Q: What is the Quality Payment Program?
A: The Quality Payment Program (QPP) is the name for the Medicare Part B physician payment system that was established by the MACRA law... more

Q: What are the different payment tracks in MACRA?
A: Starting in 2017 physicians will begin participating in either the Merit-Based Incentive Payment System (MIPS) or... more


Quality Payment System Basics

MACRA, known as the Quality Payment Program (QPP), replaces the old volume-based payment system with a new system based on quality and value. The QPP begins in 2019 (based on performance in 2017) and will be phased in over several years.

Understanding QPP/MACRA

Implementation Resources

  • Physician Quality Reporting System (PQRS): Stay up to date with quality reporting measures, requirements, and deadlines.
  • Meaningful Use: Providing financial incentives to eligible professionals as they adopt and demonstrate "meaningful use" through improved quality, safety, and efficiency of patient care.
  • Physician & Practice Timeline®: A helpful summary of upcoming important dates related to a variety of regulatory, payment, and delivery system changes and requirements.
  • Transforming Clinical Practice Initiative: Tools and resources to support clinicians and practices transform from volume-based to value-based, patient-centered care.
  • The Genesis Registry®: A specialized clinical data registry helping providers meet the 2016 public health reporting requirement.
  • ACP Practice Advisor®: Helping clinician practices improve patient care, organization, and workflow through web-based interactive modules that focus on continuous quality improvement activities and care delivery transformation.


For more information or questions or concerns regarding specific MACRA-related issues, email

We also encourage you to discuss MACRA with your colleagues in the
Member Forum on MACRA.