What is the purpose of the Quality Payment Program implemented by CMS?

The purpose of the Quality Payment Program (QPP) implemented by the Centers for Medicare & Medicaid Services (CMS) is primarily to incentivize healthcare providers to improve patient care. This initiative encourages healthcare providers to focus on quality of care rather than the quantity of services provided. By linking reimbursement rates to the quality of care delivered, providers are motivated to adopt practices that enhance patient outcomes, improve care coordination, and promote overall health.

The program encompasses two main tracks—Merit-Based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (APMs)—which collectively aim to reward clinicians for providing high-quality, efficient care, thus directly impacting patient satisfaction and health outcomes. This emphasis on quality also drives the implementation of evidence-based practices and enhances the capability of providers to use data effectively in their operations.

While other options may relate to aspects of healthcare administration and billing, they do not capture the core goal of the QPP, which is centered on improving the standard of care for patients through meaningful incentives for providers.