Alternative Payment Models
In April 2015, President Obama signed into law the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). 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 HCP-LAN on Draft of "Primary Care Payment Models" - November 15, 2016(350 KB PDF)
AAFP Executive Summary of MACRA Final Rule - October 21, 2016(4 page PDF)
AAFP Letter to PTAC on Payment Models - October 12, 2016(4 page PDF)
AAFP Letter to CMS on 2017 Proposed ESRD Regulation - August 23, 2016(2 page PDF)
AAFP Response to the 2017 Proposed Medicare Physician Fee Schedule - August 19, 2016(56 page PDF)
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