CMS Releases MACRA Rule Proposal
Wednesday, April 27, 2016
The U.S. Department of Health and Human Services unveiled a proposed rule tackling the initial implementation of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).
According to an HHS announcement accompanying the rule, the primary aim is to simplify and streamline the existing patchwork of value-based payment models that have increasingly replaced the traditional fee-for-service system via a new framework dubbed the Quality Payment Program. This structure provides doctors with two paths for compliance:
- The Merit-based Incentive Payment System (MIPS), which scores clinicians on four performance categories based on flexible measures and activities chosen by physicians based upon their specialty, a move that reportedly addresses concerns voiced in feedback from roughly 6,300 practitioners.
- Advanced Alternative Payment Models (APMs), including the Comprehensive Primary Care Plus and Next Generation ACO models, among others.