Making Sense of MACRA: Advancing Care Information and Improvement Activities


Learn how to maximize your score in the Quality Payment Program (QPP).

Fam Pract Manag. 2017 May-June;24(3):17-20.

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The Medicare Access and CHIP Reauthorization Act (MACRA) was passed into law in April 2015. The law established two new tracks for physician Medicare Part B payment: the Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (AAPMs). The MIPS and AAPM tracks are collectively referred to as the Quality Payment Program (QPP).

Through the MIPS track, Medicare Part B payments are adjusted based on performance in four performance categories: quality, cost, advancing care information (ACI), and improvement activities. Scores in each category are weighted, added together to obtain a MIPS final score, and compared to a performance threshold.

This supplement summarizes components and scoring of the ACI and improvement activities categories.


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