The “Medicare Access and CHIP Reauthorization Act” or “MACRA,” was signed into law on April 16, 2015. This bipartisan legislation permanently repeals the sustainable growth rate (SGR) formula and replaces Medicare’s multiple quality reporting programs with a new program that rewards physicians for providing high-quality, high-value health care. In particular, physiatrists will need to be able to prove and articulate their value, which will mean identifying and defining optimal pathways or mechanisms for physiatric care, advocating for our patients, and producing data that proves our worth.
The MACRA makes three important changes to how Medicare pays those who give care to Medicare beneficiaries. These changes include:
- Ending the Sustainable Growth Rate (SGR) formula for determining Medicare payments for health care providers’ services.
- Making a new framework for rewarding health care providers for giving better care not more just more care.
- Combining our existing quality reporting programs into one new system.
- Highlights of Medicare Access and CHIP Reauthorization Act of 2015
AAPM&R Responds to CMS’s RFI for MACRA Implementation
On September 28, 2015, CMS issued a request for information regarding implementation of the quality drivers Merit-based Incentive Payment System (MIPS), promotion of Alternative Payment Models (APMs), and Incentive Payments for Participation in Eligible Alternative Payment Models.
Your Academy submitted recommendations to CMS on how best to implement the quality programs without significantly burdening physicians and their patients. The Academy’s comments included recommendations on appropriate identification and exclusions of MIPS eligible professionals, how APM eligibility should be defined, and the development of the Clinical Practice Improvement activities. Last Updated: May 2016