Physicians Advocacy Institute

Frequently Asked Questions Updated for 2020


4. How does CPC+ work with MACRA?

  1. Under the QPP, CPC+ practices participating in Round 1 and those participating in the intervention group of Round 2 are considered Advanced APMs. Physicians in these practices who successfully participate in a CPC+ may be eligible to receive a 5% incentive payment for their participation. For the 2020 performance year, to be eligible to receive a 5% incentive payment and be exempt from MIPS reporting, the APM Entity the physician is participating in (in this case the practice) must receive either 25% of its Medicare payments through the CPC+ model or provide care to 20% of its Medicare patients through the CPC+ model.  Physicians who meet these thresholds are considered Qualifying Advanced APM Participants (QPs). Use the CMS APM Lookup tool to determine your status.

    Additional information on the QPP requirements for Advanced APM participation are available in the QPP Advanced APM Overview. Additionally, see the CMS CPC+ website and PAI’s CPC+ Overview for details on the CPC+ model.

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