MedPAC Recommends CMS Make Changes To Proposed MACRA Alternative Payment Model

MedPAC recommended that federal Centers for Medicare & Medicaid Services (CMS) make changes to its proposal for the alternative payment models (APM) authorized by the Medicare Access & CHIP Reauthorization Act of 2015 (MACRA). The MACRA legislation created two new value-based provider organization reimbursement models to replace Medicare fee-for-service rate increases based on the sustainable growth rate (SGR) methodology. The new models are— Merit-Based Incentive Payment System (MIPS) and APM.

MIPS

The MIPS pays provider organizations additional payments based on their performance on quality and outcome measures, which will affect clinical professionals who do not qualify . . .