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 Initial Summary of the 2019 Proposed Medicare Physician Fee Schedule - July 18, 2019(2 page PDF)
AAFP Letter Responsing to CMS RFI on Direct Provider Contracting - May 25, 2018
AAFP Letter to Secretary Azar Requesting Support for Testing the APC-APM - March 19, 2018(3 page PDF)
AAFP Letter to CMS in Response to MyHealthEData Initiative - March 14, 2018(4 page PDF)
AAFP Letter to ASPE’s RFI on "Promoting Healthcare Choice and Competition" - January 25, 2018(4 page PDF)
AAFP Letter to CMS on the 2018 Quality Payment Program Final Rule with Comment Period - December 19, 2017(15 page PDF)
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