Quality Initiatives

Quality initiatives and programs have become more prevalent in delivering healthcare and obtaining payment for services. Some programs offer bonuses or other incentives when quality measures are met, while others are more punitive in nature when measures are not met. Some quality programs are mandated by a plan or payor while others are more voluntary in nature. It is important to know how these programs function, their requirements for participation, and the opportunities they provide or disincentives they impose to evaluate if a program is a good fit for your practice and to ensure success.

Medicare Quality Payment Program

Provides a brief overview of the QPP and other information.

Merit-based Incentive Payment System (MIPS) 

Summarizes MIPS participation requirements, reporting categories, data selection and submission, etc.

MIPS Step-by-Step Guide

The guide provides a high-level overview of each performance category, step-by-step instructions, and specifics on calculating, collecting, and reporting each MIPS performance category with links to additional information.

Medicare Alternative Payment Models (APM)

Provides information on Medicare APMs and Advanced APMs, how to participate, and a list of Houston area APMs.

MIPS Value Pathways (MVPs)

Summarizes the QPP MVP track and other pertinent information.

Accountable Care Organizations (ACOs)

Provides participation requirements and other information in Medicare ACOs.