MACRA Resource Center

MACRA (Medicare Access and CHIP Reauthorization Act of 2015) affirms the ongoing fundamental shift in our healthcare system to one based on outcomes over volume.

MACRA became law April 16, 2015. It repealed the flawed sustainable growth rate formula and replaced the Value-Based Modifier, EHR Medicare Incentive Program (meaningful use), and the Physician Quality Rating System.

This new system of Medicare reimbursement furthers the evolution to value-based care and provides clinicians with two paths for reimbursement under the umbrella of the newly-established Quality Rating System (QRS). The two paths are the Merit-based Incentive Payment System (MIPS) and the Advanced Alternative Payment Model (APM). 

From solo practitioner to largest health plan, everyone must understand and stay abreast of the latest MACRA developments. Check back often for updates.

Resources for Health Plans

• 4 Things Every Health Plan Should Know About MACRA and 1 Thing to do RIGHT NOW (infographic)
• Health Plans Tell Your Doctors MACRA Is Here (includes a sample provider outreach email)
• MACRA Revisited -- the Final Rule
• Health Plans: Top 5 Steps to Prepare for MACRA
• Health Plans: Prepare Clinicians for Success with MACRA to Avoid Expensive Cost-Shifting Measures
• Payers Get Ready for Healthcare Changes You Cannot Ignore
• MACRA Countdown Continues

Resources for Clinicians

• 4 Things Every Physician Should Know About MACRA and 3 Things to do RIGHT NOW (eBook)
• MACRA: You missed Oct. 2. Now what?
• MACRA: Oct. 2 is approaching fast. Are you ready?
• Physicians: How to Avoid MACRA Penalties This Year
• Yes, Virginia, MACRA is Real
• Survey: Two-Thirds Still Unprepared for MACRA
• MACRA Revisited -- the Final Rule
• Industry Rallies to Be Heard
• MACRA: A Focus on Your Patients Populations and Practice
• Under Pressure, Physicians Get Ready Healthcare Changes You Can’t Ignore
• MACRA Countdown Continues

• 2018 MIPS Promoting Interoperability Performance Category Fact Sheet

CMS Resources

• Interactive MIPS eligibility checker for clinicians (have your NPI handy)
• MACRA Final Rule Executive Summary
• Quality Payment Program website
• Quality Payment Program Overview Fact Sheet
• Small Practice Fact Sheet
• Where To Go For Help Fact Sheet