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For starters, the act permanently repealed the hopelessly flawed sustainable growth rate formula, preventing a 21 percent cut to Medicare reimbursement rates.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

Patient Relationship Categories, Codes

AAFP Insists CMS Ease FPs' Administrative Burden

01/17/2017 — The AAFP recently told CMS its newly created patient relationship categories and codes would spur more administrative work for physicians.

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01/04/2017 — Family physicians have until Jan. 31 to apply to participate in a CMS study related to the Merit-based Incentive Payment System and data collection.

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12/21/2016 — The AAFP released a position paper that presents an advanced alternative payment model for primary care that puts patients at the center of the health care system.

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12/20/2016 — The AAFP continues to keep a close eye on details associated with new payment models related to CMS' Quality Payment Program.

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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

Talk With Leaders

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

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