The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) encompasses the most significant change to physician reimbursement since the implementation of the Medicare Sustainable Growth Rate (SGR) formula in 1997. The goal is to have 90% of Medicare fee-for-service payments tied to quality or value and 50% of Medicare payments tied to quality or value through alternative payment models (APMs) by the end of 2018. Health actuaries and consultants are seeing an increase in interest and projects relating to the issues, challenges, and opportunities of MACRA implementation. The presenter will breakdown the MACRA final rule, the goals of the Quality Payment Program (QPP) and its two tracks, provide an overview of the Merit-Based Incentive Payments System (MIPS) composite scoring methodology, and summarize the most current Advanced APMs and applicable criteria. In addition, any relevant evolving or proposed MACRA legislation will be discussed depending on CMS and post-presidential election events.

Speakers