MACRA (The Quality Payment Program)
APM Alternative Payment Model
SGR (sustainable Growth Rate repealed April, 2015
PQRS
Meaningful Use
Value-Based Payment Modifier
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MIPS (Merit-Based Incentive Payment System)
Payment adjustment based on performance in 4 categories
Advancing Care Information/Use of CEHRT (25%) (meaningful Use)
Clinical Practice Improvement Activities (15%)
Quality (50%) (PQRS)
Resource Use/Cost (QRUR)
Qualify based on 3 requirements
Base Payments on quality measures comparable to MIPS
Require providers to bear more than nominal risk
Use Certified EHR technology
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APM's must also be an approved model by CMS
CMS approved APM's
Comprehensive Primary Care Plus Model
Medicare Shared Savings Program Tracks 2 and 3
Comprehensive ESRD Care Model (LDO and non-LDO two-sided risk arrangements)
Next Generation ACO model