Implementing MACRA

The Medicare Access and CHIP Reauthorization Act repealed the sustainable growth rate formula and replaced it with the Quality Payment Program, which is designed to move providers into value-based care through two pathways, the Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (APMs). AMGA recommends that the MIPs not include a low-volume threshold, which excludes otherwise eligible clinicians from the program and results in insignificant payment adjustments for high performers.  AMGA also recommends that thresholds requirements for APMs be revised so that providers can participate.

Issue Brief

Implementing MACRA

CMS Correspondence

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