Lexology November 7, 2017
One rule makes changes to the Quality Payment Program created by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), which dictates how physicians are paid for Medicare services. The other rule, the Physician Fee Schedule, sets Medicare physician payment rates and policies. Highlights from the two rules are discussed below.
MACRA Quality Payment Program
Under the MACRA Quality Payment Program, starting in 2019, physicians who provide Medicare services will be paid under one of two tracks. Most physicians participate in the Merit-based Incentive Payment System (MIPS), under which CMS adjusts physicians’ Medicare payments based on their performance on specified metrics. On the other hand, physicians who demonstrate significant participation in certain advanced alternative payment models (APMs) are exempt...
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