The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) – which was passed with bipartisan support in 2015 – promises to fundamentally change the way the United States evaluates and pays for healthcare. Review the full text here.
In the simplest possible terms, MACRA repeals the Sustainable Growth Rate (SGR) Formula that has determined Medicare Part B reimbursement rates for physicians and replaces it with new ways of paying for care. Under MACRA, participating providers will be paid based on the quality and effectiveness of the care they provide. A growing percentage of physician payment will be based on value – not on volume – like the current fee-for-service system. High value care will be defined by measures of quality and efficiency and providers will earn more or less depending on their performance against those measures.
The Network for Regional Healthcare Improvement (NRHI) released a series of MACRA based webinars to help clinic staff, administration and providers prepare for upcoming changes. These webinars are: