American College Of Surgeons - Inspiring Quality: Highest Standards, Better Outcomes

Welcome to the American College of Surgeons (ACS) Quality Payment Program (QPP) Resource Center. The Resource Center has been created to help you navigate the new Medicare physician payment system. We are starting at the beginning with basic information about the program, options for participation, and ACS resources available to you. Over time, we will be adding additional information, including videos, tips, and other tools to help you maximize your success and minimize your stress as QPP is phased in. Visit the Resource Center often to check for updates and consider the ACS your partner in the journey ahead.

We have put together a new series of videos to help you navigate. (To view in fullscreen, press the play button and then click on the square in the bottom right corner of the video.)







QPP at a Glance

The Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 called for major changes in the physician payment system that will begin to go into effect in 2017. This new payment system—the QPP—continues to advance a policy goal of basing payment on value rather than on volume. There are two pathways for surgeons to participate in the QPP—the Merit-Based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (APMs).

About MIPS

Merit-Based Incentive Payment System (MIPS) is the default QPP pathway most physicians will (initially) participate in. Download the ACS presentation on MIPS.

MIPS ComponentsComponents

  • Quality component (formerly PQRS)
  • Advancing Care Information (ACI) component (formerly meaningful use)
  • Improvement Activities (IA) component
  • Cost


  • A single MIPS final score will factor in performance in the four categories on a 0 to 100 point scale.
  • Surgeons can receive positive or negative payment adjustments based on their final score (see diagram below).

How much can MIPS adjust payments?

MIPS Implementation Resources

Understanding the Program

Glossary of Acronyms and Terms

Fact Sheets

The Complete Briefing Book

PowerPoint Presentations from the 2017 Videos

About APMs

The ACS-Brandeis University Advanced Alternative Payment Model (APM) is currently under review by the U.S. Department of Health and Human Services (HHS). The ACS-Brandeis Advanced APM can be viewed on the HHS website.