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MACRA (view source)

Revision as of 15:57, October 17, 2015

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MACRA removed the requirement that physicians who opt out of Medicare must renew their opt-out status every two years. Under MACRA, physicians who opt out on or after June 16, 2015, do not have to renew their opt-out status.

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This bipartisan law also establishes a merit-based incentive payment system (“MIPS”), which becomes mandatory beginning in 2019,<ref>http://healthcareblog.pyapc.com/2015/04/articles/healthcare-reform/goodbye-sgr-hello-macra-and-mips/</ref> MIPS looks to four categories to determine a physician's score for reimbursement purposes:

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:(1) measures of quality

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:(2) metrics for efficiency, such as controlling the overall cost of the medical care;

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:(3) whether there is a meaningful use of EHR, or electronic health records; and

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:(4) whether there are activities undertaken to improve clinical practice.

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MACRA includes protections against malpractice lasuits using the Medicare quality program standards. There will also be incentive payments to physicians who participate in payment models other than MIPS, and supposedly there will be technical support to help smaller practices who choose the alternative payment models or participate in a fee-for-service incentive program.

[[category:medicine]]

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