What Is MACRA & How Does It Affect Clinical Professionals?: An OPEN MINDS Market Intelligence Report

Signed on April 16, 2015 by President Obama, the Medicare Access and CHIP Reauthorization Act (MACRA) provides funding for the Children’s Health Insurance Program (CHIP) through 2017 and makes sweeping reforms to Medicare physician reimbursement. The Act mirrors the Department of Health and Human Services (HHS) goal of having 50% of Medicare payments tied to alternative payment models and 90% of Medicare fee-for service (FFS) payments tied to quality or value by 2018. Specifically, the Act replaces the Medicare sustainable growth rate (SGR), which influenced physician services reimbursement. The SGR is replaced with Quality Payment Program, which has . . .