Policy

Keeping you up to date on the newest information regarding Health Care policies

MACRA Implementation and the Move to Value-Based Care

The Department of Health and Human Services (HHS) issued a proposal to update how Medicare pays physicians and other clinicians for quality. This proposal is the first step in the implementation of Medicare Access to CHIP Reauthorization Act of 2015 (MACRA).

Their plans to phase out the Meaningful Use quality reporting program for medicare physicians is a welcomed change considering many US providers have been collectively spending more than $15.4 billion a year reporting these quality measures.

In trying to standardize measures they will introduce the new Quality Payment Program (QPP), a value-based reimbursement model that aims to improve outcomes through two main arms: the Merit-Based Incentive Payment System (MIPS) and the Advanced Alternative Payment Models (APM).

These new payment models are aimed to give healthcare providers more flexibility with quality reporting, and are designed to consolidate the current Meaningful Use, Physician Quality Reporting System, and Value-based Payment Modifier programs.

The proposal, if finalized, would begin reporting as of January 1, 2017. We will continue to monitor the industry for any new changes in policy and will make sure that you are consistently kept up to date as this policy evolves.