The Medicare Access and CHIP Reauthorization Act of 2015 ("MACRA") created a new Quality Payment Program (QPP) that is transforming how providers are paid.


MACRA is a separate piece of legislation from the Affordable Care Act (ACA), also known as Obamacare.  Unlike the ACA, MACRA passed with wide bipartisan support.  Although some components of these laws are intertwined,  major changes to the ACA under the new administration will not eliminate MACRA.

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The QPP has two pathways: Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (APMs):

Choose a path below:
Alternative Payment Models (APMs)
Providers who meet the APM criteria will receive a 5-percent annual bonus payment and are exempt from MIPS.

Merit-based Incentive System (MIPS)
MIPS ties Medicare payments to performance by consolidating three existing Medicare incentive programs and adding one new component.
Latest Updates
  • Read the AAN's summary of the 2018 QPP Final Rule
  • Read the CMS summary of the Final Rule for the 2018 Performance Year
AAN Tools & Resources
Read Articles About MACRA
Advocating for Neurology
Non-AAN MACRA Resources

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