Quality Payment Program
The Quality Payment Program (QPP) is a Medicare reimbursement system launched by CMS (Centers for Medicare & Medicaid Services) under the MACRA law (Medicare Access and CHIP Reauthorization Act of 2015). It moves healthcare providers away from the fee-for-service model and rewards them for quality, cost-efficiency, and improved patient outcomes.
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Who Participates in QPP?
Clinicians billing Medicare Part B and meeting the following:
At least $90,000 in Medicare Part B allowed charges
200+ Medicare Part B beneficiaries
400+ covered professional services
Eligible clinicians include:
Physicians
Nurse practitioners
Physician assistants
Clinical nurse specialists
CRNAs (Certified Registered Nurse Anesthetists)
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Benefits of QPP
Promotes high-value care
Improves patient outcomes
Aligns financial incentives with quality
Supports the transition to value-based care
