The Quality Payment Program (QPP) aims to improve Medicare by helping clinicians shift to a payment system focused on quality and patient outcomes. Small practices with 15 or fewer clinicians, including those in rural locations, health professional shortage areas, and medically underserved areas are a crucial part of the health care system. The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) provides direct technical assistance to help individual Merit-based Incentive Payment System (MIPS) eligible clinicians and small practices in these settings participate in the program. The QPP SURS (Small, Underserved, and Rural Support) initiative is comprised of local, experienced organizations that help clinicians in small and rural practices navigate the Quality Payment Program, while making sure they are able to focus on the needs of their patients.

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