2019 MACRA/MIPS: Education and Updates for the Quality Payment Program

Effective Date: 10/25/18
Expiration Date: 10/25/19

Faculty: Po Chou, Senior Vice President, Population Health RWJBarnabas Health

Overview: MACRA is the Medicare Access and CHIP Reauthorization Act of 2015 aims to change how clinicians are paid: it ended the Sustainable Growth Rate formula and implemented changes to pay clinicians based on quality, instead of volume, of care. MACRA created the Quality Payment Program (QPP), which CMS says will improve Medicare “by helping you focus on care quality and the one thing that matters most — making patients healthier.”

MIPS scores providers based on four categories and uses those scores to determine payments. Those four categories are:

  • Quality Measures (60% of total MIPS score)
  • Advancing Care Information (25% of total MIPS score)
  • Improvement Activities (15% of total MIPS score)
  • Cost/Resource Use (This category will not used in calculations for adjustments for 2017, but will be analyzed)

Clinician performance will be measured annually and will be made available to the public via CMS. MIPS payment adjustments will apply to Medicare Part B payments starting in 2019, based on 2017 performance reporting.


  • Demonstrate comprehension of MACRA/MIPS
  • Discuss implications of the Quality Payment Program, inclusive of Alternative Payment Models (APM) and Advanced APMs
  • Review 2019 proposed changes

Disclosures: Po Chou – Has nothing to disclosure

Non-faculty contributors and other involved in the planning, development and editing/review of the content have no relevant financial relationships to disclose.

Accreditation Statement: Community Medical Center is accredited by the Medical Society of New Jersey to provide continuing medical education for physicians.

Designation Statement: Community Medical Center designates this enduring material for a maximum of 1 AMA PRA Category I Credits™.

Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Estimated completion time: 1.0 hour of instruction

Target Audience: This program has been designed for Physicians, Physician Assistant’s, Nurse Practitioners, and nurses

Computer System Requirements: Internet Explorer (version 9.0 and above) is the minimum supported browser for CME activities. Your Internet settings should be set to accept cookies and JavaScript. If cookies and/or JavaScript are disabled, the site may not function properly. A high-speed Internet connection (DSL, cable modem, or LAN-based) is not required; however, it is recommended for faster download times.

References: www.cms.gov

Instructions to Receive CME credit: Once you have watched the entire presentation, click on the post-activity test and evaluation. Please answer the entire program test, post evaluation form, and return via email to Gwen.Hunt@rwjbh.org or fax to 732-557-8935. Mark answers clearly.

In order to receive CME credit you must score 50% on the post test.

A Certificate of Completion will be emailed to you.

CME Program Test (pdf)
CME Post-Activity Evaluation (pdf)