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 ca...