Measuring Quality in Orthopaedics: What Lies Ahead?

Orthopaedists and other medical professionals  are keenly aware of the shift that has been occurring in recent years from  volume-based to value-based care—a shift that gained even more attention with  the repeal of the Sustainable Growth Rate (SGR) and the creation of its  replacement, the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015.  As described in this issue's cover story on MACRA, the Centers for Medicare  & Medicaid Services (CMS) recently released the MACRA proposed rule,  providing for the first time a detailed description of how the new physician  reimbursement framework has been designed.

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