Abstract
The Medicare Access and Children's Health Insurance Program Reauthorization Act (MACRA) was passed by a bipartisan vote of Congress in 2015. MACRA repealed the sustainable growth rate that threatened to reduce Medicare physician payments by >20% yearly. At the same time, MACRA created the Quality Payment Program (QPP), which requires that most physicians who submit claims to the Centers for Medicare and Medicaid Services (CMS) participate in one of two programs: the Merit-based Incentive Payment System (MIPS) or an Advanced Alternative Payment Model (APM).
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