On April 27, the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) released a proposed ruling for a solution to replace the Medicare sustainable growth rate (SGR) which was repealed last April. The ruling, which is open for commentary for two months, changes the payment model for Medicare beneficiaries starting in 2017 by offering two paths, the Merit-Based Incentive Payment System (MIPS) and the Advanced Alternative Payment Models (APMs)[i]. At a high level, the MIPS path funnels elements of existing programs, such as Physician Quality Reporting System (PQRS), Value Modifier (VM), and Meaningful Use (MU), into one streamlined program that rewards providers for quality care. Providers are evaluated on a combination of four performance categories: Quality, Advancing Clinical Information, Clinical Practice Improvement Activities, and Cost. This model is intended to provide flexibility to physicians while reducing the reporting burden across..
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