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'We've seen physician practices of all sizes successfully submit a full year's quality data, and expect many will be ready to do so.' 1 could submit quality information for a full year, and thus could qualify for a 'modest' payment adjustment, he said. Practices that are ready to start on Jan. Participate for the full calendar year.You could select from the list of quality measures and improvement activities available under the Quality Payment Program.' 'This means your first performance period could begin later than Januand your practice could still qualify for a small positive payment adjustment. Under this option, physicians could submit quality information 'for a reduced number of days,' Slavitt explained. Participate for part of the calendar year.'This first option is designed to ensure that your system is working and that you are prepared for broader participation in 20 as you learn more.' 'With this option, as long as you submit some data to the Quality Payment Program, including data from after January 1, 2017, you will avoid a negative payment adjustment,' he wrote. Slavitt outlined four options for physicians: Under the Medicare Access and CHIP Reauthorization Act (MACRA) - the bill that repealed the sustainable growth rate formula for physician reimbursement under Medicare - physicians must choose from one of two paths beginning next year: they can either participate in an alternative payment model such as an accountable care organization, or they can join in the Merit-Based Incentive Payment System (MIPS), which requires doctors to submit quality reporting data to Medicare.