What is MACRA ?
MACRA stands for Medicare Access & CHIP Reauthorization Act 2015 :
Three major steps :
1) Ending sustainable growth rate for determining Medicare payment for health care provider service
2) Making new framework for rewarding health care provider for giving better care not just more care
3) Combining our existing quality reporting program's in to one new system
These proposed changes replace a patchwork system of Medicare reporting program's with a flexible system that allows you to choose two path of links quality of payments .
MIPS - Merit based Incentive Payment System.
It's a combination of PQRS, Value based payment modifier and EHR.
APM - Alternative Payment Model
2019 - 2024 Lump sum incentive amount, increased transparency of physician focused payment model.
Starting 2026, offers some participating health care provider higher annual payment.
SOCIAL SECURITY NUMBER REMOVAL INITIATIVE
MACRA Requires us to remove SSN from all Medicare cards, when replace SSN on all Medicare cards we can better protect.
Private health care and financial information.
Federal health care benefit and services payment.