MACRA and Delivery Reform

The Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 permanently repealed the flawed Sustainable Growth Rate (SGR) and creates two tracks for payment under a new "Quality Payment Program." First, it replaces the existing Physician Quality Reporting System (PQRS), Value-Based Modifier, and Meaningful Use of Electronic Health Records (EHR) programs with a new, single Merit-Based Incentive Payment System (MIPS) program that expands the pay-for-performance incentives in the fee-for-service system. The second track, Advanced Alternative Payment Models (APMs), provides bonus payments for physicians who participate in "alternative payment models" that hold providers financially accountable for health care costs.

Email us with any questions or concerns at MACRA@aaos.org.

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