On January 1, 2017, the Medicare Access and CHIP Reauthorization Act of 2015
(MACRA) reformed the Medicare physician payment system through creation of the
Quality Payment Program, rewarding Medicare providers for the quality and value of
care patients receive, rather than for the volume of services provided.

MIPS

Most providers will be subject to MIPS — the Merit-Based Incentive
Payment System,which consists of revised performance categories:

eClinicalWorks can help you navigate every aspect of the new requirements. Our experts have the
experience and knowledge you need to choose the right mix of quality measures for your practice.

APMs

APMs, or Alternative Payment Models, provide additional incentives to
practices willing to adopt additional risk and meet certain conditions.

Medical Home

ACO

Bundled Payments

APMs are available to many Accountable Care Organizations (ACOs), groups of healthcare providers who come together voluntarily to provide high-quality, coordinated care to Medicare patients, reduce duplication of services, and prevent medical errors. Beginning in 2019, providers participating in APMs can earn annual positive adjustments of between 4% and 12%. The range of available incentives increases in the following three years as shown above.

• Measuring set-up and workflow optimization.
• Quantifying the frequency of quality measure compliance for patient populations.
• Navigating performance categories, such as Quality, Advancing Care Information, and Improvement Activities.
• Assisting with attestation and measure submissions to CMS.
• Selecting measures to maximize practice’s Composite Performance Score.
• Training in use of dashboards and Clinical Quality Worksheets.