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For starters, the act permanently repealed the hopelessly flawed sustainable growth rate formula, preventing a 21 percent cut to Medicare reimbursement rates.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

Check Now: Your 2018 MIPS Eligibility Status May Have Changed

CMS Also Opens Physician Compare Data for Preview Before It Goes Public

December 05, 2018 09:56 am — Physicians now can use a CMS tool to check their participation status for the 2018 Merit-based Incentive Payment System. Physicians also may now view their Quality Payment Program performance information before it appears on Physician Compare profile pages.

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Recent MACRA Ready News

End of 2018 MIPS Program Performance Year Looms

Prepare Now to Submit Data Beginning Jan. 1, 2019

11/05/2018 — Physicians must have an Enterprise Identity Data Management account user ID and password to submit 2018 Merit-based Incentive Payment System performance data to CMS.

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09/26/2018 — Errors in score calculations prompted CMS to give physicians more time to request a targeted review of their Merit-based Incentive Program System 2017 performance reports.

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Considering a Virtual Group for 2019 MIPS Participation?

Webinar, New Resources Will Inform Physicians

08/22/2018 — Register now for an Aug. 27 webinar that details how to participate in CMS' 2019 Merit-based Incentive Payment System as part of a virtual group.

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Academy Sends MACRA Concerns, QPP Advice to Congress

Among Suggestions: Decrease Complexity of MIPS Scoring

08/01/2018 — In a recent letter to Congress, the Academy expressed support for the overall goals of the Medicare Access and CHIP Reauthorization Act while outlining key strategies to improve its 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

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

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