2019 Quality Payment Program

The AANA continues to develop informational sources to aid certified registered nurse anesthetists (CRNAs) in understanding the complex relationship between quality and value outlined in many of the Center for Medicare and Medicaid Services (CMS) quality initiatives. As these quality initiatives will affect reimbursement, it is important for CRNAs to build their knowledge base and become more familiar with some of these programs. This website is intended to be an educational guide to the programs the AANA believes will impact CRNAs the most.

Learn More About The CMS Quality Payment Program

New:  2019 MIPS Data Submission Deadline Extended

On March 22, 2020 CMS announced that MIPS eligible clinicians (ECs) would be granted an extension for the submission of 2019 MIPS data, in view of the national emergency due to COVID-19.  MIPS eligible CRNAs can now submit 2019 MIPS until April 30, 2020 at 8:00 pm EDT. ECs who are unable to submit MIPS data by the deadline will automatically qualify for the 2019 automatic extreme and uncontrollable circumstances policy, and will receive a neutral payment adjustment in 2021. For more information see CMS Announces Relief for Clinicians, Providers, Hospitals and Facilities Participating in Quality Reporting Programs in Response to COVID-19 

Contact AANA Research and Quality Division 

American Association of Nurse Anesthetists 
Research and Quality Division
Email: research@aana.com
Telephone: (847) 655-1170

Quality Payment Program Year 3: 2019 MIPS Overview

On November 1, 2018, CMS released the official CY 2019 Final Rule outlining changes to the Merit-based Incentive Payment System under Year 2 of the Quality Payment Program.  Along with the Final Rule, CMS released an Overview Fact Sheet and Executive Summary highlighting the finalized policies. 

The AANA Research and Quality Division has prepared a series of short videos as a guide for CRNAs who are newly participating or transitioning to Year 3 of the Quality Payment Program and MIPS. The video will discuss issues of import for CRNAs as they navigate new MIPS participation requirements in 2019. 

2019 MIPS Overview Video Slides  





Quality Video Slides


IA Video Slides


 Cost Video Slides 


PI Video Slides 


 Alternative Payment Model Fact Sheets

These downloadable APM fact sheets offer CRNAs who are in, or are interested in, a Medicare APM basic information about these programs.  

    APM Video Slides


2019 APM Overview


2019 MIPS Performance Category Fact Sheets

These downloadable fact sheets offer a quick high-level overview of each 2019 MIPS performance category.  

MIPS Frequently Ask Questions (FAQs)

For individual CRNAs and anesthesia groups that would like further details about Quality and Improvement Activities, these FAQs offer further in-depth information about the two most important categories relevant to anesthesia providers.   

CMS Approved Registries