Which act related to reimbursement programs created the Quality Payment Program, shifting reimbursement to value, and what is its acronym?

• A. Medicare for All Act
• B. Health Information Technology for Economic and Clinical Health Act
• C. Affordable Care Act
• D. MACRA

Answer: (D)

Value-based reimbursement in Medicare was established by MACRA, the Medicare Access and CHIP Reauthorization Act. This act created the Quality Payment Program, shifting payments from paying for volume to paying for value. It replaced the old SGR formula and set up two pathways for clinicians: MIPS (merit-based incentive payments) and Advanced Alternative Payment Models, tying Medicare payments to performance on quality and cost measures. The other acts listed do not create the Quality Payment Program. The Affordable Care Act broadened reform and payment reform in general, HITECH focused on health IT adoption and interoperability, and the Medicare for All Act envisions a different, broader system rather than the value-based program MACRA established.