The recently-enacted Bipartisan Budget Act of 2018 (Budget Act) added much-needed flexibility to the Merit-based Incentive Payment System (MIPS), Medicare’s physician payment system established by the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015.
Explore Related Content
![](getkaiasset/ae06d532-81b2-4383-b777-9be21bd3dadf/4.png?dpr=2&auto=format&h=220&fit=crop)
Federal Policy Resource
Analysis: Proposed 2020 Medicare Physician Payment and Quality Reporting Changes
![](getkaiasset/7f145c5e-ac9f-4fb5-b727-c8130bef4a96/17.png?dpr=2&auto=format&h=220&fit=crop)
Federal Policy Resource
BPCI Advanced and QP determinations
![](getkaiasset/7f145c5e-ac9f-4fb5-b727-c8130bef4a96/17.png?dpr=2&auto=format&h=220&fit=crop)
Federal Policy Resource
CMS MIPS measures with substantive changes finalized for 2021 payment year
![](getkaiasset/c0df0744-3427-4a17-87f4-256e5d50777a/21.png?dpr=2&auto=format&h=220&fit=crop)
Federal Policy Resource
MIPS Comparison of 2017 and 2018 Policies
![](getkaiasset/875b08b4-bc64-4745-8416-e076e9d3f125/MGMA%202024%20APMs%20Issue%20Brief_FINAL.png?dpr=2&auto=format&h=220&fit=crop)
![MGMA 2024 Medicare Physician Payment Position Paper](getkaiasset/df24e759-ba0b-4d25-a677-68c5aadb1afd/MGMA%202024%20Medicare%20Physician%20Payment%20Issue%20Brief_FINAL.png?dpr=2&auto=format&h=220&fit=crop)
![](getkaiasset/5d60821a-85d7-4138-ae01-4a3ab7f6945a/7.png?dpr=2&auto=format&h=220&fit=crop)
Advocacy Letter
October 2, 2017: MACRA letter on CMS flexibility with QPP
More Federal Policy Resources
![](getkaiasset/08365455-5e5c-415e-95e4-499e6fdd826e/10.png?dpr=2&auto=format&h=220&fit=crop)
Federal Policy Resource
FTC noncompetes final rule
![](getkaiasset/eb26e91a-e80e-432a-8676-80d6ff3f92fc/9.png?dpr=2&auto=format&h=220&fit=crop)
Federal Policy Resource
Implementing the No Surprises Act
![](getkaiasset/1ab4959c-0ee3-4d40-9ee1-f90fd38e782b/2024%20Final%20PFS%20Analysis.png?dpr=2&auto=format&h=220&fit=crop)
Federal Policy Resource
Analysis: Final 2024 Medicare Physician Payment and Quality Reporting Changes
![](getkaiasset/5366a868-6fb1-49a2-9805-dca8a4f69bf1/2023%20MGMA%20Regulatory%20Burden%20Report%20FINAL.png?dpr=2&auto=format&h=220&fit=crop)
Federal Policy Resource
MGMA Annual Regulatory Burden Report - 2023
![](getkaiasset/6d5f8b16-f69d-4b4a-957b-b2d54652b674/24.png?dpr=2&auto=format&h=220&fit=crop)
Federal Policy Resource
Updated: Medicare Telehealth Waivers Refresher
![](getkaiasset/cc34812a-eccb-4393-add6-95b4622e6327/25.png?dpr=2&auto=format&h=220&fit=crop)
Federal Policy Resource
118th Congress Priority Bill Tracker
![](getkaiasset/74c3c516-2fe0-450b-8bb2-d6865fe6f7d1/26.png?dpr=2&auto=format&h=220&fit=crop)
Federal Policy Resource
GovChat Live: Proposed 2024 Physician Fee Schedule
![](getkaiasset/8bc3bf64-e56b-4f24-af0c-f832f9f2dcf0/28.png?dpr=2&auto=format&h=220&fit=crop)
Federal Policy Resource
2023 Mid-Year Policy Update FAQs
![](getkaiasset/cc34812a-eccb-4393-add6-95b4622e6327/25.png?dpr=2&auto=format&h=220&fit=crop)
Federal Policy Resource
Regulatory Brief: 2024 Medicare Advantage/Part D Final Rule
![](getkaiasset/8bc3bf64-e56b-4f24-af0c-f832f9f2dcf0/28.png?dpr=2&auto=format&h=220&fit=crop)
Federal Policy Resource
Updated: Flexibilities and policy following the expiration of the COVID-19 PHE
![](getkaiasset/74c3c516-2fe0-450b-8bb2-d6865fe6f7d1/26.png?dpr=2&auto=format&h=220&fit=crop)
Federal Policy Resource
GovChat: Unwinding of the PHE FAQ
![](getkaiasset/1df7174d-ea62-4bce-8d76-4f11d6737893/13.png?dpr=2&auto=format&h=220&fit=crop)
Federal Policy Resource
Spotlight: Prior Authorization in Medicare Advantage
![](getkaiasset/eb05199f-84c6-49d3-8be9-351efdba114b/2.png?dpr=2&auto=format&h=220&fit=crop)
Federal Policy Resource
GovChat Live: Unwinding of the Public Health Emergency (PHE)
![](getkaiasset/08365455-5e5c-415e-95e4-499e6fdd826e/10.png?dpr=2&auto=format&h=220&fit=crop)
Federal Policy Resource
Regulatory Brief: Interoperability and Prior Authorization Proposed Rule
![](getkaiasset/5e7a0320-8c04-4ae1-9d6f-6ea5b885ffc1/22.png?dpr=2&auto=format&h=220&fit=crop)
Federal Policy Resource
Regulatory Brief: 2024 Medicare Advantage/Part D Proposed Rule
![](getkaiasset/ae06d532-81b2-4383-b777-9be21bd3dadf/4.png?dpr=2&auto=format&h=220&fit=crop)
Federal Policy Resource
2022 MGMA in Washington Year in Review
![](getkaiasset/f85ee575-5536-4f47-a3bf-a7762930aeff/8.png?dpr=2&auto=format&h=220&fit=crop)
Federal Policy Resource
Analysis: Final 2023 Medicare Physician Payment and Quality Reporting Changes
![](getkaiasset/c0df0744-3427-4a17-87f4-256e5d50777a/21.png?dpr=2&auto=format&h=220&fit=crop)
Federal Policy Resource
Updated: Surprise Billing FAQs
![](getkaiasset/6d5f8b16-f69d-4b4a-957b-b2d54652b674/24.png?dpr=2&auto=format&h=220&fit=crop)