Quality Payment Program Small, Underserved, and Rural Support

Network of Regional Healthcare Improvement partnered with two of its members – Comagine Health (formerly HealthInsight) and Mountain-Pacific Quality Health – to provide technical assistance to small practices in Utah, Oregon, Nevada, Montana, Wyoming, and Alaska. Eligible clinicians can request support:

Network for Regional Healthcare Improvement was 1 of 11 organizations chosen by the Centers for Medicare & Medicaid to provide technical assistance and support to eligible individual or small group practices of 15 or fewer to support their transition of Medicare payments from a fee-for-service system to one based on performance and patient outcomes under the Quality Payment Program (QPP) Small, Underserved, & Rural Support (SURS) program.

CMS Overview and Resources of QPP SURS Program

The QPP-SURS program was established in 2017 as part of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) to enable local, experienced organizations help individual Merit-based Incentive Payment System (MIPS)-eligible clinicians and small practices:

  • Select and report on appropriate measures and activities to satisfy the requirements of each performance category* under MIPS
  • Engage in continuous quality improvement
  • Optimize their health information technology (HIT)
  • Evaluate their options for joining an Advanced Alternative Payment Model (APM)

* Quality, Cost, Improvement Activities, and Advancing Care Information

Providing this support to clinicians is helping them to navigate the Quality Payment Program, while making sure they are able to focus on the needs of their patients.

Download CMS Quality Payment Program Technical Assistance Resource Guide.

Visit Quality Payment Program Small, Underserver, and Rural Support website for more information. 

NRHI Members participating in QPP SURS


RHICs Role in Quality Payment Program Small, Underserved, and Rural Support


Regional Health Improvement Collaboratives play an integral role in creating value-driven activities to improve the quality of care:

  • Physician engagement and quality improvement support
  • Private reporting to physicians on comparative performance
  • Performance measure development and testing
  • Delivery system and practice re-design initiatives
  • Performance measurement and public reporting to provide transparency for consumer choice and rewards for excellence
  • Quality improvement at the front line such as Six Sigma Lean Programs
  • Disease management and community care teams
  • Demonstration projects that explore quality improvement methods to reduce cost, error, harm and waste
  • Serving as Quality Innovation Networks(QIN) -QIOs or Hospital Engagement Networks (HENs)
  • Multi-payer payment reform initiatives, Value-Based Purchasing, and benefit designs
  • Community engagement for population health

Learn more: