Which tracks are included in CMS's quality payment program?

Prepare for the AAPC Certified Physician Practice Manager Exam with comprehensive quizzes, multiple-choice questions, and detailed explanations. Ace your exam with confidence!

The correct choice highlights the two main tracks within the CMS (Centers for Medicare & Medicaid Services) Quality Payment Program, which are the Merit-Based Incentive Payment System (MIPS) and Alternative Payment Models (APMs).

MIPS is designed to assess the quality of care provided by clinicians based on various performance categories, including quality, cost, improvement activities, and promoting interoperability. It merges previous programs like the Physician Quality Reporting System (PQRS) and the Value Modifier (VM) into a single cohesive system that focuses on quality and rewards practitioners for high performance.

Alternative Payment Models, on the other hand, represent innovative payment structures that provide incentives for delivering high-quality and cost-effective care. These models are aimed at shifting the healthcare system away from fee-for-service arrangements toward value-based care. Examples include Accountable Care Organizations (ACOs) and bundled payment models.

The inclusion of both MIPS and APMs in the Quality Payment Program underscores the CMS's commitment to improving patient care while controlling costs, highlighting the evolution of healthcare reimbursement towards more value-driven approaches.

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