Making Sense of MACRA: The Big Picture


Be prepared. Performance in 2017 may determine Medicare payment adjustments by 2019.

Fam Pract Manag. 2016 May-June;23(3):37-40.

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The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) passed by an overwhelming bipartisan majority in Congress and was signed into law by President Barack Obama on April 16, 2015.

MACRA permanently repealed the flawed sustainable growth rate (SGR) formula, preventing a 21 percent cut to Medicare reimbursement rates. It also extended the Children’s Health Insurance Program (CHIP) for two years and it set up a new, two-track Medicare physician payment system that emphasizes value-based payment models.


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