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MACRA

About the new Medicare Quality Payment Program

The Medicare Access and CHIP Reauthorization Act of 2015 replaces the flawed Sustainable Growth Rate (SGR) payment system for physicians by transitioning from a volume-based system to one that rewards value.

CMS released the final rule on Oct. 14, 2016. Read ACP's statement on the final rule. Additionally, you can read ACP's detailed analysis and comments on the final rule.

10 things you need to do

1. Learn about the "new" Quality Payment Program at Center for Medicare/Medicaid Services (CMS) to implement MACRA.

2. Meet CMS objectives for Meaningful Use (MU) of your EHR to qualify for the EHR Incentive Program for 2016.

3. Understand and participate in the Physician Quality Reporting System (PQRS) program for 2016.

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Questions and Answers

Q: What is MACRA?
A: The Medicare Access and CHIP Reauthorization Act of 2015 was signed into law on April 16, 2015. The law eliminated the... more

Q: What is the Quality Payment Program?
A: The April 27, 2016, Notice of Proposed Rule Making (NPRM) establishes the framework of the new Quality Payment Program... more

Q: Does this program apply to me?
A: This program applies to clinicians that receive Medicare Part B payments. If you are (1) in your first year of participation in... more

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Quality Payment System Basics

MACRA, known as the Quality Payment Program (QPP), replaces the old volume-based payment system with a new system based on quality and value. The QPP begins in 2019 (based on performance in 2017) and will be phased in over several years.

Understanding MACRA


Implementation Resources

  • Physician Quality Reporting System (PQRS): Stay up to date with quality reporting measures, requirements, and deadlines.
  • Meaningful Use: Providing financial incentives to eligible professionals as they adopt and demonstrate "meaningful use" through improved quality, safety, and efficiency of patient care.
  • Physician & Practice Timeline®: A helpful summary of upcoming important dates related to a variety of regulatory, payment, and delivery system changes and requirements.
  • Transforming Clinical Practice Initiative: Tools and resources to support clinicians and practices transform from volume-based to value-based, patient-centered care.
  • The Genesis Registry®: A specialized clinical data registry helping providers meet the 2016 public health reporting requirement.
  • ACP Practice Advisor®: Helping clinician practices improve patient care, organization, and workflow through web-based interactive modules that focus on continuous quality improvement activities and care delivery transformation.

Advocacy


For more information or questions or concerns regarding specific MACRA-related issues, email macra@acponline.org.

We also encourage you to discuss MACRA with your colleagues in the
Member Forum on MACRA.