3 Steps for Ensuring Provider Success under MACRA
The Medicare Access and CHIP Reauthorization Act (MACRA) is about to revolutionize reimbursement for providers of Medicare Part B services. MACRA, which replaces the flawed Medicare sustainable growth rate (SGR), links the majority of fee-for-service payments to value and quality and adjusts reimbursement rates based on a provider’s performance relative to his peers. For eligible clinicians, risk is now unavoidable and the race to demonstrate improvements in the cost and quality of care is already underway.
Eligible clinicians must begin to prepare today for the effects of this sweeping legislation if they intend to be successful tomorrow.
MACRA establishes two payment tracks: Advanced Alternative Payment Models (APMs) and the Merit-based Incentive Payment System (MIPS). Very few organizations will qualify as Advanced APMs, leaving the majority of eligible clinicians subject to MIPS.
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