MACRA
MACRA, the Medicare Access and CHIP Re-Authorization Act, is sweeping legislation enacted in April 2015. MACRA repeals the Sustainable Growth Rate (SGR) formula originally enacted in 1997. To control the growth of Medicare costs, SGR is replaced by value-based reimbursement programs. These value-based reimbursement programs include Alternative Payment Models (APMs) such as Accountable Care Organizations (ACOs), Patient Centered Medical Homes (PCMHs) and others. For physicians and other providers who do not participate in an APM, the Merit-Based Incentive Payment System (MIPS) will reward providers who deliver high-value care while penalizing those who provide low-value care.
by Gary Pritts | Oct 5, 2016 | CMS Quality Payment Programs, General News
Meaningful Use is still on for 2016 and 2017. Learn what Acting Administrator has said about Meaningful Use and the MACRA implementation.
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by Gary Pritts | Aug 2, 2016 | CMS Quality Payment Programs, General News
Editor’s Note: Subsequent to the publication of this article, CMS has renamed the “Meaningful Use” programs to “Promoting Interoperability”. Once again we are sitting in the beginning of August with the potential for CMS to change program... Read More
by Gary Pritts | Jul 2, 2016 | CMS Quality Payment Programs, General News
Editor’s Note: Subsequent to the publication of this article, CMS has renamed the MIPS “Advancing Care Information” category to “Promoting Interoperability”. The MACRA legislation established the Medicare Incentive Payment System (MIPS)... Read More
by Gary Pritts | May 23, 2016 | CMS Quality Payment Programs, General News
The Merit-based incentive Payment System (MIPS) introduces 4 measure categories to the Medicare incentive program space. As we have mentioned in previous posts, MIPS is the new law of the land, replacing Medicare’s Meaningful Use, PQRS and Value... Read More
by Gary Pritts | May 20, 2016 | CMS Quality Payment Programs, General News
As we mentioned in our initial post (What the MIPS?), the payment modifier for MIPS will be determined by a performance threshold (PT) set by CMS and your individual or group Composite Performance Score (CPS). This CPS is a number between 0 and 100 is calculated by... Read More