MACRA. MIPS. New law. Proposed rule. “The end” of Meaningful Use. New payment models. Your head spinning yet? If so, you’re not alone. Let me help you catch your breath and hopefully clear up some confusion.
If you were skeptical that CMS intended to move reimbursement toward value-based care, the passing of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), should put your doubts to rest. This bill was approved by the House and Senate with the overwhelming bipartisan support of more than 90 percent of lawmakers (unlike HITECH and ACA), so based on this alone (not to mention other reasons to complicated to get into here) it’s not going away.
What is MACRA?
Consistent with earlier policy (see MU, PQRS, CMMI and a bevy of other acronyms) and the widely-held belief that moving away from fee-for-service is the only way to reign in out-of-control healthcare costs, Congress and the President provided certainty last year in the form of a new law. This law (and the proposed rules that followed) introduces a new value-based payment system consisting of two pathways: the Merit-Based Incentive Payment System (MIPS) and Advanced Alternative Payment Model (APM).
Learn more about the two new payment system pathways. Check out our MACRA cheat sheet
On April 27, 2016, the Centers for Medicare and Medicaid Services (CMS) issued proposed regulations implementing key provisions of MACRA with a proposed start date of January 1, 2017; a final rule is expected by November, 2016. We will keep you posted on developments with the final ruling.
Check in with our experts
Healthcare policy experts at NextGen Healthcare have studied the rules and are following this closely. So, follow NextGen Healthcare on Facebook, Twitter (@NextGen), or here, on our blog site to stay up to date. If you’re a NextGen® client, tap into the NextGen Success Community for ongoing updates. When you have questions, we have answers – so stay in touch with us.
In the meantime, if you’re ready to learn more about MACRA, visit our MACRA web page now.
View our complimentary MACRA webinar
Speaking of answers, we recently hosted a public webinar providing an overview of this new legislation, how it affects you, and what you need to do to ensure your success. You’re invited to view it anytime here.