It has been more than two years since Congress voted to enact the Medicare Access and CHIP Reauthorization Act of 2015 and subsequent deadlines for various aspects of the law were issued by the Department of Health and Human Services (HHS) and the Centers for Medicare and Medicaid Services (CMS). And yet, surveys conducted earlier this year and a few conducted more recently indicate that a large number of healthcare professionals are not familiar with the Medicare Access and CHIP Reauthorization Act (MACRA).
The new MACRA implementation has brought about nothing but chaos and confusion among medical practitioners, and more so for cardiovascular specialists. MIPS (Merit Based Incentive Payment System) is the new payment model that is geared towards a value-based payment rather than the existing service based model. This shift comes with a number of changes that a medical practitioner has to incorporate into his practice in order to ensure that the revenue is not amiss.
MACRA replaces the service based payment with the value-based payment system. This change has brought about a number of challenges for the physicians, which they have to overcome in order to continue to have a hassle-free practice. Some of the most common challenges that a physician has to overcome when dealing with MACRA are as follows:
Staying aware of the MACRA and MIPS details
Despite having come into practice in 2015,
CMS seems to have done a complete turn-around since its 2016 release of mandating MACRA participation, especially for the Advanced Alternative Payment Models (APMs). As of this year, over 800,000 clinicians are not expected to comply with the MACRA MIPS reporting, which could have potentially saved them million in compliance costs.
Who are exempt,
Medicare Access and Chip Reauthorization Act (MACRA) will have a tremendous impact on the business and health care models in healthcare establishments throughout the country. MACRA is being implemented partially in most establishments voluntarily, to get a taste of what is yet to come and is expected to be fully implemented by the end of 2018.
The latest in a series of steps taken by the Centers for Medicare and Medicaid Services (CMS) to incentivize care quality over volume; MACRA was signed into law in 2015 and replaces the previous Medicare reimbursement schedule to a new pay-for-performance program that’s focused on quality and accountability. Starting January 1, 2017, all Medicare Part B providers will enter a new payment framework called the Quality Payment Program,