Quality Payment Program - MACRA

The Quality Payment Program that is part of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) improves Medicare by helping Providers focus on care quality and the one thing that matters most — making patients healthier. The Quality Payment Program is focused on moving the payment system to reward high-value, patient-centered care.

The Quality Payment Program has two tracks you can choose from:

1). Advanced Alternative Payment Models (APMs)

2). The Merit-based Incentive Payment System (MIPS).

Participate in the Advanced APM track: 

If you receive 25% of Medicare covered professional services or see 20% of your Medicare patients through an Advanced APM in 2017, then you earn a 5% Medicare incentive payment in 2019.

You are eligible to participate in the MIPS track of the Quality Payment Program if you bill more than $30,000 to Medicare, and provide care to more than 100 Medicare patients per year, and you are a :  Physician, Physician Assistant, Nurse Practitioner, Clinical Nurse Specialist, Certified Registered Nurse Anesthetist. If 2017 is your first year participating in Medicare, then you are not required to participate in the Quality Payment Program in 2017.

Participate in the MIPS track:

If you choose the MIPS track of the Quality Payment Program,  you have four options.

Don't Participate

Not participating in the Quality Payment Program: If you don't send in any 2017 data, then you receive a negative 4% payment adjustment.

Submit Something

Test: If you submit a minimum amount of 2017 data to Medicare (for example, one quality measure or one improvement activity), you can avoid a downward payment adjustment.

Submit a Partial Year

Partial: If you submit 90 days of 2017 data to Medicare, you may earn a neutral or small positive payment adjustment.

Submit a Full Year

Full: If you submit a full year of 2017 data to Medicare, you may earn a moderate positive payment adjustment.

The size of your payment adjustment will depend both on how much data you submit and your  quality results.

Retrieved from https://qpp.cms.gov/

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All that we are is the result of what we have thought. The mind is everything. What we think we become.

Buddha

Peace comes from within. Do not seek it without.

Buddha

I am a part of all that I have met. 

Famous Saying by Alfred Lord Tennyson

Faith

Happiness keeps you Sweet,
Trials keep you Strong,
Sorrow keeps you Human,
Failure keeps you humble and
Success keeps you glowing,
but only Faith and Attitude keeps you going...

Nothing Exists

Yamaoka Tesshu, as a young student of Zen, visited one master
after another. He called upon Dokuon of Shokoku. Desiring to
show his attainment, he said: "The mind, Buddha, and sentient
beings, after all, do not exist. The true nature of phenomena is
emptiness. There is no realization, no delusion, no sage, no mediocrity.
There is no giving and nothing to be received."

Dokuon, who was smoking quietly, said nothing. Suddenly he
whacked Yamaoka with his bamboo pipe. This made the youth
quite angry.

"If nothing exists," inquired Dokuon, "where did this anger come from?"

Die without blinking an Eye

During the civil wars in feudal Japan, an invading army would
quickly sweep into a town and take control. In one particular
village, everyone fled just before the army arrived - everyone
except the Zen master. Curious about this old fellow, the
general went to the temple to see for himself what kind of man
this master was. When he wasn't treated with the deference
and submissiveness to which he was accustomed, the general
burst into anger. "You fool," he shouted as he reached for his
sword, "don't you realize you are standing before a man who
could run you through without blinking an eye!" But despite the
threat, the master seemed unmoved. "And do you realize," the
master replied calmly, "that you are standing before a man
who can be run through without blinking an eye?"