Quality & Practice

Medicare Access and CHIP Reauthorization Act (MACRA)

To watch the video in full screen mode, click on "MACRA Overview" in the upper left corner. 

Check out another helpful overview video for MIPS.

On April 27, 2016, a proposed rule was issued by the Centers for Medicare & Medicaid Services (CMS) that signifies the most extensive change in physician payment policies in the last 2 decades. Your Academy worked diligently to read and synthesize the information to determine how it will impact physiatry. On June 27, 2016, your Academy took a stand for the specialty and submitted comments to CMS on the proposed rule.

In the comment letter, your Academy made numerous recommendations to CMS that are impactful for physiatry, including:

  1. Do not begin the first MACRA performance period until July 1, 2017 and allow for an initial six-month reporting period. 
  2. Explicitly recognize continuing medical education (CME) activities provided by a nationally-recognized accreditor as a clinical practice improvement activity.
  3. Provide as much flexibility as possible for APM participants to meet thresholds so that they may achieve the participation levels.

To make sure the voice of physiatry is heard, your Academy also signed on to 3 other comment letters:

  1. American Medical Association

  2. Group of Pain Specialty Societies (including the American Academy of Pain Medicine, American Academy of Physical Medicine and Rehabilitation, American Society of Anesthesiologists, American Society of Interventional Pain Physicians, American Society of Regional Anesthesia and Pain Medicine, North American Neuromodulation Society, and Spine Intervention Society)

  3. Physician Clinical Registry Coalition

In addition, your Academy also responded to interim requests for information made by CMS concerning specific sections of the rule, including:

  1. AAPM&R Comment Letter on MIPS, APM, RFI
  2. AAPM&R Comment Letter on Proposed PTAC Process

The final rule is due to be released in the fall. 



Webinar: Understanding MACRA, the New Medicare Payment Reform Law

In this 30-minute webinar, learn about the legislative and regulatory details of the Medicare Access CHIP Reauthorization Act (MACRA) and the new Medicare payment reform law and their implications on Merit-Based Incentive Programs (MIPs) and Alternative Payment Models.​ View the webinar.​ 

Action Kit

Download the MACRA Advocacy Action Kit for useful information on the proposed rule and the changes it will bring. 

CMS Resources

Your Academy is committed to supporting you and the entire specialty through these changes. Contact healthpolicy@aapmr.org with any questions or comments. 

Last Updated: July 2016