Next Monday is the deadline for public comments on a proposed rule implementing key provisions of MACRA (Medicare Access and CHIP Reauthorization Act of 2015). Released in April, this draft regulation explains how physicians should measure and report the quality of care they provide and how they will be compensated under Medicare. It is the first real step implementing last year’s historic, bipartisan physician payment reform legislation.
With MACRA, legislators of both parties sought, not just repeal of the Sustainable Growth Rate’s system of automatic payment cuts to physicians, but a fundamental change in the way that physicians are compensated. And true to that aim, the proposed rule stresses paying clinicians for their performance on an array of measures that promote improved patient outcomes and higher-value care. It would also establish strong incentives for physicians to move towards alternative payment models (APMs) that better integrate health care delivery. The details of these proposals are important and NCHC will be offering its comments next week.
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