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Top 10 Things You Need to Do for the Quality Payment Program (QPP) under MACRA

Here are the most important things you must do to be successful under the QPP:

  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.
  4. Implement a formal quality improvement process to maximize your reported MIPS measures. Ensure that your care adheres to accepted clinical guidelines.
  5. Review your Quality and Resource Use Report (QRUR) for accuracy and to understand your practice compared to benchmarks. Contact CMS if there are problems.
  6. Review the list of available Advanced APMs for 2017—and those identified to launch in 2018—to determine if you are or could become a qualifying participant, who would receive a 5% lump sum incentive payment.  Then watch out for notifications of your Advanced APM status.
  7. Understand the principles of the Patient-Centered Medical Home (PCMH) and begin implementing them in your practice.
  8. Participate in a "medical neighborhood" and provide care coordination to reduce unnecessary office visits and testing.
  9. Impanel and risk-stratify your patient population, and implement care management for those at high risk for hospitalization or ER visits.
  10. Become educated on ACP’s High Value Care recommendations and implement them in your practice to prevent unnecessary testing and procedures.

Updated March 2017