L. 114–10 (text) (PDF)) commonly called the Permanent Doc Fix, is a United States statute.

APMs allow clinicians to earn incentives for participating in innovative payment models.

The Government Accountability Office in partnership with DHHS is set to assist in the implementation of nationwide electronic health records[5] (EHR), while simultaneously comparing and recommending such programs for providers; the EHR goal is set for December 31, 2018 under MACRA.

[citation needed] The US is set to transition from a fee for service system, which allowed physicians and providers to bill Medicare and Medicaid for services they provided to their patients, to a pay for performance based system using MIP, APM, and Accountable Care Organizations (ACO).

Enacted on April 16, 2015, the Medicare Access and CHIP Reauthorization Act (MACRA) represents a landmark bipartisan effort to reform Medicare payments, emphasizing a shift from volume-based reimbursements to a system that rewards quality and value in healthcare.