The Medicare Access and CHIP Reauthorization Act of 2015 ("MACRA") created a new Quality Payment Program (QPP) that is transforming how providers are paid.


MACRA is a separate piece of legislation from the Affordable Care Act (ACA), also known as Obamacare.  Unlike the ACA, MACRA passed with wide bipartisan support.  Although some components of these laws are intertwined,  major changes to the ACA under the new administration will not eliminate MACRA.

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The QPP has two pathways: Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (APMs):

Choose a path below:
Alternative Payment Models (APMs)
Providers who meet the APM criteria will receive a 5-percent annual bonus payment and are exempt from MIPS.

Merit-based Incentive System (MIPS)
MIPS ties Medicare payments to performance by consolidating three existing Medicare incentive programs and adding one new component.
Latest Updates
  • Access recording and read Q&A for AAN's Practice Management Webinar, "Decoding the 2017 Medicare Physician Fee Schedule and MACRA Rule." 
  • CMS announces final rule implementing MACRA. Read the AAN's summary of the final rule. (October 14, 2016)
  • CMS has acknowledged the many challenges facing physician practices to implement MACRA and released a plan to allow physicians to pick their pace of participation in the first performance period that began on January 1, 2017.
  • CMS announces its proposal to implement the MACRA law. Learn more about the proposal. Read the AAN's comments to CMS in response to their proposal. (April 27, 2016)
AAN Tools & Resources
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Advocating for Neurology
Non-AAN MACRA Resources

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