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Eli's Rehab Report


Your MACRA Jargon Cheat Sheet

ACI (Advancing Care Information): One of the four MIPS categories — the one that’s replacing Meaningful Use.

APM (Alternative Payment Model): Payment models other than fee-for-service, like accountable care organizations (ACO), bundled payment arrangements, and patient-centered medical homes (PCMH).

CPIA (Clinical Practice Improvement Activities): The new fourth performance category of MIPS.

EC (Eligible Clinician): The term CMS chose to replace the EP you’re probably used to. It encompasses the broader range of health care professionals eligible to participate in the QPP.

MACRA (Medicare Access and CHIP Reauthorization Act of 2015): The law intended to steer our healthcare system towards CMS’ three goals of better care, smarter spending, and healthier people by focusing on incentives, care delivery, and information sharing.

MIPS (Merit-Based Incentive Payment System): Part of the QPP, MIPS streamlines the current Meaningful Use, PQRS, and the Value-based Modifier (VBM) programs, combining them and adding a new 4th category (CPIA).

QP (Qualifying Participant): An EC who is eligible to participate in the QPP’s APM track. MACRA offers additional rewards for participation in APMs, and even higher bonuses for advanced APMs.

QPP (Quality Payment Program): The pay-for-value system that MACRA created, consisting of two tracks: MIPS and APM.