Quality & Practice

Did you find what you're looking for?

If not, email us at healthpolicy@aapmr.org

Medicare Access and CHIP Reauthorization Act (MACRA)

The “Medicare Access and CHIP Reauthorization Act” or “MACRA,” was signed into law on April 16, 2015. 

MACRA made 3 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. Learn more. 
  • Making a new framework for rewarding health care providers for giving better care not just more care.
  • Combining existing quality reporting programs into one new system: The Quality Payment Program (QPP).


Within the Quality Payment Program, there are 2 paths providers can choose and use to report quality data: