Lexology November 27, 2017
The passage of the Medicare Access and CHIP Reauthorization Act of 20151 (MACRA), and implementing regulations promulgated in 2016,2 focused on reforming physician Medicare reimbursement with an eye towards incentivizing quality and cost savings. In the process, however, Congress and the Centers for Medicare & Medicaid Services have created an interesting juncture in the health care landscape, as one of the real and lasting impacts of MACRA may well be the formation of new alignments between physicians and hospitals and health systems.
Under MACRA, a portion of physician payments is tied to goals such as reduced costs and improved quality, meaning that physician incentives now more closely track imperatives faced by hospitals and health systems in their march toward value-based...