Request a Live Demo

Please take a minute to tell us about yourself.

* All fields required

 

View our Privacy Policy or Terms and Conditions.

Submit

Thanks! We'll be in touch soon!

In the meantime, please feel free to give us a call at 800.981.5084, explore the site or check out a video.

An error occurred

Please feel free to give us a call at 800.981.5084 .

close
Request demo Call athenahealth Menu
hero

MACRA knowledge hub

Learn about the MACRA proposed rule, MIPS, and alternative payment models. Discover how you can be rewarded for providing better, lower-cost, patient-centered care while avoiding program penalties.

What is the MACRA Final Rule?

CMS released its final rule for MACRA (Medicare Access & CHIP Reauthorization Act of 2015) in October, 2016. CMS’s goal for MACRA is to create a new framework for rewarding providers for better, lower-cost, patient-centered care. 

The MACRA Final Rule introduced the Quality Payment Program (QPP) that is intended to simplify current Medicare reporting programs into two tracks

  1. The Merit-Based Incentive Payment System (MIPS), which covers most providers (MIPS combines former programs PQRS and MU)
  2. Advanced Alternative Payment Models (APMs), which only applies to providers who are part of a risk-based payment model such as the Next Generation ACO or Comprehensive Primary Care Plus (CPC+) program.

A MACRA Summary

MACRA affects most providers 
Unless you’re new to Medicare or bill very low Medicare volume, you can’t opt out. 

Time is short 
The last chance to start reporting data – and avoid penalties - for 2017 is October 2, 2017. 

Most clinicians will see a payment adjustment under MIPS 
With other CMS programs, average performers got no adjustment. But almost all MIPS clinicians will. Those with a MIPS score above or below the national threshold get a corresponding upward or downward payment adjustment. 

Expect an administrative burden
The data collection and reporting can be extensive. Ensure you have an EHR that sets you up for success – and without extra work. 

Meaningful Use is not going away
MACRA does not change hospital or Medicaid MU. Medicaid MU participants who also bill Medicare will need to participate in both Medicaid MU (through 2021) and MIPS.

MACRA is here to stay
MACRA was passed with bipartisan support, and is separate from the ACA. A repeal of the ACA does not mean a repeal of MACRA, so providers should expect it to continue to move forward. 

Proposed quality scoring is public
All reporting performances will be publicly reported on Medicare’s Physician Compare site.

 

Succeed with MACRA, Guaranteed.

We take on work to protect your practice from penalties and help you secure every dollar you're eligible for.
Whitepaper Icon

Payment Reform Knowledge Hub

Get more education on the transition to Value Based Care.
Whitepaper Icon

From our CloudView Blog

CMS’ Value-Modifier 2018: Where is the transparency?
Whitepaper Icon
We made it through the holidays and came out on the other end ready to kick off an exciting 2017, but providers particip...