MACRA: The Medicare Access and CHIP Reauthorization Act

The Medicare Access and CHIP Reauthorization Act (MACRA) that was signed into law in April 2015 is setting up groundbreaking changes to the way physicians are paid by Medicare.

For starters, the act permanently repealed the hopelessly flawed sustainable growth rate formula, preventing a 21 percent cut to Medicare reimbursement rates. But it also extends the Children’s Health Insurance Program (CHIP) for two years and sets up a new, two-track Medicare physician payment system that emphasizes value-based payment models.

The AAFP is pulling no punches to make sure family physicians are poised to make the most of this new era of value-based payment -- working in Washington to show legislators and regulators how the law can best support primary care, while at the same time showing individual family physicians the concrete steps they can take to succeed in MACRA's new payment and quality reporting framework.

Keep an eye on AAFP News for timely updates about how the AAFP is flexing its muscles to shape MACRA into a tool that properly compensates family physicians for what they do better than anyone else -- provide high-quality, comprehensive, compassionate care for their patients.

Recent MACRA Ready News

05/04/2017 — The AAFP recently weighed in on effective ways for CMS to develop cost measures that are based on care episode and patient condition groups.

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04/27/2017 — The AAFP urged CMS to immediately simplify the Medicare Access and CHIP Reauthorization Act by eliminating some implementation components and modifying others.

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Merit-based Incentive Payment System

New CMS Resources Aim to Guide Physicians Through MIPS

04/26/2017 — Three new resources from CMS are designed to help physicians navigate the Merit-based Incentive Payment System implemented under the Medicare Access and CHIP Reauthorization Act.

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Advanced Primary Care Alternative Payment Model

AAFP Accepts Challenge, Submits Primary Care-based Payment Proposal

04/24/2017 — The AAFP recently sent a proposal detailing its advanced primary care alternative payment model to the newly formed Physician-Focused Payment Model Technical Advisory Committee for review.

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Be MACRA Ready

Find the tools you need to make the most of the Medicare Access and CHIP Reauthorization Act on the AAFP's dedicated resource page.

Talk With Leaders

Read the AAFP Leader Voices blog for two-way discussion on issues important to family medicine.

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