The Centers for Medicare & Medicaid Services (CMS) closed on June 27 the public comment period for its proposed rule implementing the Medicare Access and CHIP Reauthorization Act (MACRA). This means that Medicare will soon change its payment system to emphasize value over volume, and physicians caring for Medicare patients will need to make decisions about how to adapt their practices to the new incentives.
This briefing reviews the requirements of MACRA, including MIPS, the APMs and the choices physicians will need to make. We also examined what this means for doctor practices and health systems who employ doctors, including what the burden of quality reporting will be for these groups, what the relative impact will be for large and small practices, and how this might accelerate or slow the trend toward provider consolidation.
Mark Miller, Medicare Payment Advisory Commission (MedPAC)
Farzad Mostashari, Aledade
Lisa Bielamowicz, The Advisory Board
Alan Weil of Health Affairs and Marilyn Serafini of the Alliance for Health Reform will moderate.
With thanks to the Jayne Koskinas Ted Giovanis Foundation for Health and Policy for its support of this briefing.