Medicare Gets Serious About Value-based Payments: How MACRA Will Change Care Delivery
by NTT Data
January 30, 2018
For those who view the Medicare Access and CHIP Reauthorization Act (MACRA) as an administrative and reporting distraction, it’s time to take a second look. It is the most profound change in the physician payment model since 1965, the year Medicare was enacted. The program offers physicians a variety of choices, but all those choices are designed to change care delivery by moving reimbursements away from traditional fee-for service reimbursement and toward pay for performance. Most physicians with an active Medicare patient roster will fall under the Merit-Based Incentive Payment System (MIPS). While MIPS is a fee-for-service arrangement, beginning in 2019 the amount of payments will be based on performance reported in 2017.