Small, Underserved and Rural Support (SURS)

Medicare Quality Payment Program

Regional support project for the Medicare Quality Payment Program—a component of MACRA (the Medicare Access and CHIP Reauthorization Act of 2015)—focused on small, underserved, and rural clinics, that supports clinicians in improving delivery of quality care and transitioning from volume-based payment to value-based models. Participating practices receive ongoing support through education, peer networks, and technical assistance. The program features a resource center with content contributed   by QPP subject matter experts who respond to questions in real time and assess providers’ needs for ongoing technical assistance.  QPP is budget neutral, with potential for providers to be penalized or incentivized up to 4%.  Active engagement increases the likelihood that a practice can avoid penalties and earn significant incentives.

Provided by
Qualis Health
Washington Academy of Family Physicians, Washington State Hospital Association, Washington State Medical Association
Funded by
Centers for Medicare & Medicaid Services (CMS)
Regional Availability
Targeted Participants

Small, underserved, and rural clinics with groups of 15 or fewer practitioners who are not already enrolled in the TCPI or an Advanced Alternative Payment Model

Targeted patient populations
Medicare Part B
February 2017-February 2022
Practice Responsibilities
  • Participate in the Quality Payment Program
Practice Benefits
  • Access to web-based educational resources, including Merit-based Incentive Payment System (MIPS) trainings and a QPP toolkit
  • “Office hours” series of webinars
  • Peer-to-peer support
  • Virtual work group