The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) was signed into law in April 2016. While this law permanently repeals the sustainable growth rate (SGR) formula, the new legislation has significant implications for how physicians are paid by Medicare. Fee-for-service will be replaced with payments for value of care provided. The resources below will help provide a deeper understanding of what it takes to be successful in optimizing reimbursement.
Five Best Practices to Meet MACRA/MIPS Requirements
In 2018, the MACRA threshold to avoid a penalty increases, as do the requirements to hit exceptional performance. Here are the steps practices can take to succeed in MACRA/MIPS this year.
MACRA Is a Marathon, Not a Sprint: Stay in the Race
The MACRA 2018 rule is intended to ease some of the burdens on small practices and groups and began its performance period in January 2018 by maintaining flexibility and adding more pathways for small practices and solo practitioners to successfully participate.
MACRA and MIPS: Frequently Asked Questions
Wading through reams of information about MACRA and MIPS can be daunting—find answers to your questions in this FAQ. Be sure to check back for updates as more questions are added.
Are You MACRA Ready?
No-cost webinars and other resources to help you jumpstart your MACRA participation. From Medical Advantage Group, a subsidiary of The Doctors Company.
Making Sense of MACRA
Introductory CME course provided by The Doctors Company.
Education, training, and resources are also available from the Quality Payment Programto help practices understand and implement MIPS.
Get more information on implementing value-based care systems in the Health IT Playbook from The Office of the National Coordinator for Health Information Technology.
Support for Small and Large Practices A Technical Assistance Resource Guide for practices with less than 15 clinicians or in rural or underserved areas, and a guide to Quality Innovation Networks and Quality Improvement Organizations for larger practices.
The guidelines suggested here are not rules, do not constitute legal advice, and do not ensure a successful outcome. The ultimate decision regarding the appropriateness of any treatment must be made by each healthcare provider considering the circumstances of the individual situation and in accordance with the laws of the jurisdiction in which the care is rendered.