Resources on MACRA

What should you be doing right now?

Pick your pace now in 2017 to avoid a penalty.

Questions about MACRA?

Get answers to your questions about MACRA with our FAQ.

Resources for

the Medicare Access and CHIP Reauthorization Act of 2015

MACRA transforms Medicare Physician Payment

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.

MACRA Resources from the AAFP

MACRA 101

Start with these resources if you're just getting started with MACRA.

FAQ on MACRA
Answers to common questions related to MACRA.

Medicare Payment Reform: Making Sense of MACRA from FPM
A solid place to start when digging into how value-based payment will bring big changes to practices.

Making Sense of MACRA, Part 2: Value-Based Payment and Your Future from FPM
The next article in the series explains how your performance this year will affect your Medicare payment in 2019.

Pathway to MACRA
This infographic highlights the path options you will choose related to MACRA and can help you decide which pathway works best for your practice.

MACRA On-demand Module Series
This members-only module series introduces MACRA, MIPS, and APMs.

MACRA Timeline(1 page PDF)
A visual of how MACRA will roll out in an easy-to-view format.

MACRAnym List
An acronym table of the programs, organizations, and terms related to MACRA.


MACRA 201

Next steps in the path to value-based payment.

Pick Your Pace
2017 has been named a transition year to “Pick Your Pace" by CMS. Learn what to do in order to avoid a 2019 negative payment adjustment.

What is MIPS?
The Merit-based Incentive Payment System (MIPS) is one of the two new payment tracks created under MACRA. It replaces three existing quality programs and adds a new performance category. The performance categories include:


MACRA 301

What are AAPMs?
The AAPM is the other two new payment track created under MACRA. It offers physicians incentives to provide high-quality, cost-effective care and move away from the fee-for-service model.

What are MIPS APMs?
Certain eligible clinicians who do not meet the payment threshold or the patient threshold can be categorizied as part of MIPS APMs, a subset of APMs.

Accountable Care Organizations
Get started learning about ACOs, which are a type of AAPM under MACRA.


Realizing Payment Now

Not ready to dig into all things MACRA just yet? Here are ways to get paid now.

Get Paid with the Annual Wellness Visit (AWV)
Implementing the AWV can optimize revenue and improve Medicare quality and cost with minimal impact to your practice.

Chronic Care Management
CCM allows monthly payment for the work you and your team invest in caring for patients with chronic conditions. Increase your revenue while also preparing for MACRA– without adding extra work.

Transitional Care Management
TCM provides payment for the time you take to coordinate your patients’ care transitions. By helping patients transition, you provide a benefit that closes gaps in care and reduces unnecessary readmissions.

Advance Care Planning
Guide your patients through end-of-life decision making.

What should you be doing right now?

Pick your pace now in 2017 to avoid a penalty.

Questions about MACRA?

Get answers to your questions about MACRA with our FAQ.

Articulating the Value of Family Physicians

Under MACRA, Medicare and other payers will increasingly pay physicians based on the value rather than the volume of their services. The AAFP is helping family physicians communicate this with payers and employers with this literature review. It provides a coherent argument, including references and an annotated bibliography, for why family physicians are invaluable assets in the health care system and for the benefits of having family physicians in a central leadership role within value-based payment systems.

Download A Fundamental Asset in Health Care: Valuing Family Physicians »(12 page PDF)

Articulating the Value of Family Physicians

Under MACRA, Medicare and other payers will increasingly pay physicians based on the value rather than the volume of their services. The AAFP is helping family physicians communicate this with payers and employers with this literature review. It provides a coherent argument, including references and an annotated bibliography, for why family physicians are invaluable assets in the health care system and for the benefits of having family physicians in a central leadership role within value-based payment systems.

Download A Fundamental Asset in Health Care: Valuing Family Physicians »(12 page PDF)