Sustainable Growth Rate

For post-SGR updates, please visit our new MACRA/Quality Payment Program webpage at

After more than 10 years and 17 short-term patches, Congress in 2015 passed the Medicare and CHIP Reauthorization Act (MACRA), permanently repealing the flawed Sustainable Growth Rate (SGR) formula. MARCA replaces the existing Physician Quality Reporting System (PQRS), Value-Based Modifier, and Meaningful Use of Electronic Health Records (EHR) programs with a new Merit-Based Incentive Payment System (MIPS) program. For more on MACRA, MIPS, and Alternative Payment Models (APMs), click here. For more on the EHR Meaningful Use program and other health information technology issues, click here.

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