MACRA is a transformative law that builds a new, fast-speed highway to take the healthcare system away from the fee-for-service system and toward new risk-bearing, coordinated care models.

“Once the program is up and running, physicians can pick one of two routes that will determine how they will be paid: Merit-Based Incentive Payment System (MIPS) or an advanced alternative payment model (APM).”

1. This rule applies only to physician practices and to Medicare

For now, only physician offices – not hospitals – are governed by MACRA rules. In addition, this program only applies to payments physicians receive from Medicare. Medicaid is not included.

2. Performance data from 2017 will determine payment in 2019

With Medicare payments or penalties under MACRA being handed out starting in 2019, that can feel like a long time away. But it’s closer than many physicians may realize.

Keeping to tradition, CMS plans to use data collected in 2017 to determine payment adjustments for 2019.


TO READ THE FULL ARTICLE…

This article is premium content and requires a subscription. If you have a subscription, then please here. If you do not have a subscription, you may purchase one below.

Best Offer: 2-Year Premium

$144.97/Every 2 Years

Get 2-Year Premium
  • 12 bimonthly print issues (accessible in PDF, Nook, Kindle, Apple Library, or digital formats) to The Remington Report
  • Full access to the remingtonreport.com
  • Access to back issues of The Remington Report
  • Download access to the articles archives
  • MarketScan reports
  • Latest news from across the continuum
  • Exclusive premium subscription articles and case studies
  • FutureFocus e-newsletter
  • TrendLens e-newsletter

1-Year Classic

$74.97/Every 1 Year

Get 1-Year Classic
  • 6 bimonthly print issues (accessible in PDF, Nook, Kindle, Apple Library, or digital formats) to The Remington Report
  • Full access to remingtonreport.com.
  • Access to back issues of the Remington Report
  • Download access to the articles archives
  • MarketScan reports
  • Latest news from across the continuum
  • Exclusive premium subscription articles and case studies
  • FutureFocus e-newsletter
  • TrendLens e-newsletter