The Medicare Access and CHIP Reauthorization Act (MACRA) was passed by Congress and signed into law in 2015. This historic bipartisan legislation substantially supports the much-needed transition from the current volume-driven, fee-for-service (FFS) reimbursement model, to a value-based system that rewards quality and value of care over volume of services provided. MACRA included several provisions, some of which include:
On April 27, 2016, the Centers for Medicare and Medicaid Services (CMS) announced a proposed rule (summarized in this news release), which outlines how CMS proposes to implement the law, including details regarding MIPS and APMs. This proposed rule provides an opportunity to help shape the details of the law's implementation, and the PCPCC will respond before the June 27 deadline with strong comments to support advanced primary care. (Note: PCPCC's comments will be published on our advocacy webpage once submitted to CMS.)
Although the major provisions of MACRA begin in 2019, providers should prepare now because Medicare will use 2017 performance data for payment in 2019.
The U.S. Department of Health and Human Services offers an easy-to-understand video to help explain the complex regulation that is MACRA:
The MACRA makes three important changes to how Medicare pays those who provide care to Medicare beneficiaries:
These changes create a Quality Payment Program (QPP).
On June 27, 2016, the PCPCC submitted its official comments to CMS on the MACRA proposed rule, which are summarized in a June 28 press release.
------------------------------------------------------------------------------------------------------------------------------------------------------------
Eager to Learn More?
Listen to Washington DC-based health care policy analyst and researcher David Introcaso's Healthcare Policy Podcast, "How CMS Proposed to Annually Update Medicare Physician Reimbursement Under MACRA: A Conversation with Mara McDermott."
Titolo | Sorgente | Data |
---|---|---|
At Congressional Hearing on MACRA Rule, Focus Turns to Concern for Small Docs | Healthcare Informatics | Maggio 12, 2016 |
Slavitt promises flexibility, mindfulness during MACRA implementation | Modern Healthcare | Maggio 11, 2016 |
The missing patient voice in value-based care | Modern Healthcare | Maggio 10, 2016 |
How physicians can succeed under MIPS | Medical Economics | Maggio 9, 2016 |
Alternative Payment Models (APMs) Under MACRA Proposed Rule | The National Law Review | Maggio 6, 2016 |
Physician payment in Medicare is changing: Three highlights in the MACRA proposed rule that providers need to know | Brookings | Maggio 4, 2016 |
Breaking Down The MACRA Proposed Rule | Health Affairs | Aprile 29, 2016 |
5 initial reactions to the proposed MACRA rule | Becker's Hospital Review | Aprile 29, 2016 |
Medicare Proposes New Doc Pay System | Bloomberg BNA | Aprile 27, 2016 |
Moving toward improved care through information | CMS Blog | Aprile 27, 2016 |