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The Medicare Access and CHIP Reauthorization Act (MACRO) An Overview for Physician Organizations KEY POINTS 1. MACRO improves physician payment in traditional Medicare 2. MACRO repealed the flawed
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The Medicare Access and CHIP Reauthorization Act (MACRA) is a bipartisan legislation that was signed into law in 2015 to change the way Medicare pays physicians and other clinicians.
Physicians, nurse practitioners, physician assistants, clinical nurse specialists, and certified registered nurse anesthetists who bill Medicare Part B are required to participate in MACRA.
To fill out MACRA, eligible clinicians can choose from two tracks: Advanced Alternative Payment Models (APMs) or the Merit-based Incentive Payment System (MIPS). They must report data on quality measures, cost, improvement activities, and promoting interoperability.
The purpose of MACRA is to shift Medicare reimbursement from volume-based fee-for-service to value-based care, improve the quality of care provided to patients, and promote the use of health information technology.
Clinicians must report data on quality measures, cost, improvement activities, and promoting interoperability.
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