Health Affairs March 16, 2018
The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) established a new framework for how traditional fee-for-service Medicare pays for clinician services. The Medicare Payment Advisory Commission (MedPAC) supports the elements of MACRA that repealed the Sustainable Growth Rate (SGR) and moved toward comprehensive, patient-centered care delivery models such as advanced alternative payment models (A-APMs). For years, the SGR presented significant uncertainty for clinician payment in Medicare, and moving beyond it marked a considerable accomplishment. MACRA also created the Merit-based Incentive Payment System (MIPS), which measures individual clinicians in traditional Medicare on a set of measures that they choose.
MedPAC—an independent legislative branch agency that advises Congress on the Medicare program—shares Congress’s goal, expressed in MIPS, of having a...
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