Understanding the QPP: Key Points and Resources

With RDNs now eligible to participate in Track One of the Quality Payment Program, the time is now to better understand the program and the financial impact it can have on RDNs. It is easy to feel overwhelmed when first introduced to Medicare's QPP. There is a great deal of information to assimilate. Fortunately, there are many QPP educational resources from the Centers for Medicare and Medicaid Services along with information and support provided by the Academy. Below you'll find key information about the QPP and further educational resources about it.

QPP Key Points

  • The Quality Payment Program is here to stay. There is strong bipartisan support for the legislation that created the QPP. Annual updates to the program by CMS help shape the program’s future success.
  • The QPP was created as Medicare had to shift away from Fee for Service payments as it was projected to bankrupt the system. RDNs should look to the future of Medicare Part B payments with the new QPP.
  • There were minimal annual increases to the Part B Physician Fee Schedule in 2017-2019 (0.5 percent) and no increases beginning in 2020. The QPP, on the other hand, offers a system of new financial incentives.
  • Starting in 2019, RDNs have been able to participate in track one of the QPP, called the Merit-based Incentive Payment System if they exceed all three of the low-volume threshold criteria; they also can opt in to MIPS if they meet or exceed one or two but not all three of the low-volume threshold criteria. With either option RDNs will be subject to payment adjustments. They can also continue to participate in track two of the QPP, which is Advanced Alternative Payment Models.
  • If RDNs are exempt from MIPS because they do not exceed all three of the low-volume threshold criteria, they can prepare for future participation by choosing to voluntarily report under MIPS. RDNs who voluntarily report will receive an annual feedback report to learn how to maximize future financial incentives under MIPS, but will not be subject to payment adjustments.
  • The QPP allows RDNs to demonstrate the importance of their profession as well as the value RDNs bring to clients, the health care team, and organizations.

Additional Resources for Learning about the QPP

It takes time and repeated exposure to gain a working knowledge of the two tracks of the QPP. RDNs can learn more about the QPP by utilizing resources from the Academy and CMS: