{"abstract":"Section 101 of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) repeals the Medicare sustainable growth rate (SGR) methodology for updates to the physician fee schedule (PFS) and replaces it with a new Merit-based Incentive Payment System (MIPS) for MIPS eligible professionals (MIPS EPs) under the PFS. Section 101 of the MACRA sunsets payment adjustments under the current Physician Quality Reporting System (PQRS), the Value-Based Payment Modifier (VM), and the Electronic Health Records (EHR) Incentive Program. It also consolidates aspects of the PQRS, VM, and EHR Incentive Program into the new MIPS. Additionally, section 101 of the MACRA promotes the development of Alternative Payment Models (APMs) by providing incentive payments for certain eligible professionals (EPs) who participate in APMs, by exempting EPs from MIPS if they participate in APMs, and by encouraging the creation of physician-focused payment models (PFPMs). In this request for information (RFI), we seek public and stakeholder input to inform our implementation of these provisions.","action":"Request for information.","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Centers for Medicare & Medicaid Services","name":"Centers for Medicare & Medicaid Services","id":45,"url":"https://www.federalregister.gov/agencies/centers-for-medicare-medicaid-services","json_url":"https://www.federalregister.gov/api/v1/agencies/45","parent_id":221,"slug":"centers-for-medicare-medicaid-services"}],"body_html_url":"https://www.federalregister.gov/documents/full_text/html/2015/10/01/2015-24906.html","cfr_references":[{"chapter":null,"citation_url":null,"part":414,"title":42}],"citation":"80 FR 59102","comment_url":null,"comments_close_on":"2015-11-02","correction_of":null,"corrections":[],"dates":"To be assured consideration, written or electronic comments must be received at one of the addresses provided below, no later than 5 p.m. on November 2, 2015.","disposition_notes":null,"docket_ids":["CMS-3321-NC"],"dockets":[],"document_number":"2015-24906","effective_on":null,"end_page":59113,"executive_order_notes":null,"executive_order_number":null,"explanation":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2015/10/01/2015-24906.xml","html_url":"https://www.federalregister.gov/documents/2015/10/01/2015-24906/request-for-information-regarding-implementation-of-the-merit-based-incentive-payment-system","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/2015-24906?publication_date=2015-10-01","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2015-10-01/2015-24906/mods.xml","not_received_for_publication":null,"page_length":12,"page_views":{"count":14607,"last_updated":"2026-04-14 22:15:04 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2015-10-01/pdf/2015-24906.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2015-24906.pdf?1443453318","publication_date":"2015-10-01","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2015/10/01/2015-24906.txt","regulation_id_number_info":{},"regulation_id_numbers":[],"regulations_dot_gov_info":{"supporting_documents":[],"comments_url":"https://www.regulations.gov/docketBrowser?rpp=50&so=DESC&sb=postedDate&po=0&dct=PS&D=CMS-2015-0110","supporting_documents_count":0,"docket_id":"CMS-2015-0110","regulation_id_number":null,"title":"Request for Information Regarding the Implementation of the Merit Based Incentive Payment System, Promotion of Alternative Payment Models, and Incentive Payments for Participation in Alternative Payment Models CMS-3321-NC","checked_regulationsdotgov_at":"2015-11-18T05:00:50Z"},"regulations_dot_gov_url":null,"significant":null,"signing_date":null,"start_page":59102,"subtype":null,"title":"Request for Information Regarding Implementation of the Merit-Based Incentive Payment System, Promotion of Alternative Payment Models, and Incentive Payments for Participation in Eligible Alternative Payment Models","toc_doc":"Implementation of the Merit-based Incentive Payment System, Promotion of Alternative Payment Model, etc.","toc_subject":"Request for information:","topics":[],"type":"Proposed Rule","volume":80}