Resources on MACRA

Resources for

the Medicare Access and CHIP Reauthorization Act of 2015

What should you be doing right now?

Pick your pace now in 2017 to avoid a penalty.

What is MACRA?

The Medicare Access and CHIP Reauthorization Act (MACRA) is a law signed by President Obama in 2015. MACRA:

  • 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 - Top Changes for 2018

Small Practice and Complex Patient Bonuses – Small practices (15 or fewer clinicians) will receive a 5-point bonus added to their MIPS final score. ECs can also earn up to 5 bonus points for providing care to complex patients.

Increased Low-Volume Threshold – Eligible clinicians (ECs) who provided care to less than or equal to 200 Medicare Part B beneficiaries or received less than or equal to $90,000 in Medicare Part B payments are excluded from MIPS.

Longer Performance Period – The performance period for the quality and cost categories is a full calendar year (January 1, 2018-December 31, 2018). The performance period for the advancing care information and improvement activities categories is any consecutive 90 days.

Data Completeness
– In the quality category, ECs must report on at least 60% of patients, regardless of payer, eligible for the measure.

Cost Will Be Scored – The weight of the cost category has increased to 10% for the 2018 performance period. The weight of the quality category has decreased to 50%.

Virtual Groups Available – Solo and small practices (10 or fewer clinicians) can join together to participate in MIPS as a virtual group.

MACRA 101: The Basics

Start here.

Just getting started with MACRA? Learn the basics, including what it is, how it will impact payment, and what you need to do now to optimize your financial performance.

MACRA 201: MIPS

All about MIPS.

Learn about Merit-based Incentive Payment System (MIPS), one of the two payment tracks under MACRA that adjusts payment based on performance.

 

MACRA 301: AAPMS

All about AAPMs.

Advanced Alternative Payment Model (AAPM) is one the two payment tracks under MACRA that offers incentives to provide high-quality, cost-effective care.

Realize Payment Now

Steps you can take now to get paid.


MACRA in the News

Keep up with all things MACRA on AAFP News.

Visit AAFP News»

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)

MACRA in the News

Keep up with all things MACRA on AAFP News.

Visit AAFP News»

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)