Alternative Payment Models
In April 2015, the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) became law. The law:
- Repeals the sustainable growth rate (SGR) methodology for determining updates to the Medicare physician fee schedule
- Establishes annual positive or flat fee updates for 10 years and institutes a two-track fee update beginning in 2019.
- Establishes the Merit-based Incentive Payment System (MIPS) that consolidates existing Medicare quality programs.
- Establishes a pathway for physicians to participate in an Alternative Payment Model (APM).
AAFP Letter to CMS with Recommendations for MACRA Improvements - April 26, 2017(15 page PDF)
AAFP Proposal to PTAC: APC-APM for Delivering Patient-Centered, Longitudinal, and Coordinated Care - April 14, 2017(38 page PDF)
AAFP Letter to CMS in Response to RFI for Pediatric APMs - March 27, 2017(4 page PDF)
AAFP Letter of Intent to Submit Pysician-Focused Payment Model to PTAC - February 16, 2017(2 page PDF)
AAFP Letter to PTAC on Project Sonar - January 18, 2017(3 page PDF)
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