ACRONYMS

MACRAMedicare Access and CHIP Reauthorization Act (legislation passed in 2015 to repeal SGR)

SGRSustainable Growth Rate (CMS program since 1997 that would have cut clinicians Medicare Part B payments and had a negative effect on clinicians – every year Congress passed temporary fixes so as not to cut payments)

QPPQuality Payment Program (The quality program implemented to meet MACRA requirements – includes MIPS and APMs)

PQRSPhysician Quality Reporting System (Quality program previously used by CMS to track physician quality)

VBMValued Based Modifier (Previous cost program by CMS)

MIPSMerit-based incentive Payment System (Traditional track for clinicians that do not participate in any of CMS value based programs. Is the combination of the former PQRS, VBM, and EHR programs)

MIPS-APMMIPS Alternative Payment Model (Track for clinicians that participate in a value-based initiative without downside risk, such as Medicare Share Savings Program-Track 1)

APMsAdvanced Alternative Payment Models (Track for clinicians that participate in value-based initiatives with downside risk, quality management, and EHR requirements)

CPI or CPIAClinical Practice Improvement Activities (One of the 4 domains for MIPS-New category that does not replace any previous programs)

ACIAdvancing Care Information (one of the 4 domains for MIPS-Replaces EHR program or Meaningful Use)

QPQualifying Physician (If participating in an Advanced APM, a physician will need to become a qualifying physician by meeting certain standards in order to receive the rewards of this track)

CPSComposite Performance Score (The combination score that is calculated for MIPS based on the 4 domains)

ACOAccountable Care Organization (Value-based care program implemented by CMS to work towards population health)

CHS ACO MSSPChicago Health System ACO-Medicare Shared Savings Program (CMS now has 3 types of ACO and Chicago Health System participates in the MSSP model – promotes shared savings by reaching quality and cost requirements)