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MACRA 2.0: are you ready for MIPS?
- Source :
-
Journal of neurointerventional surgery [J Neurointerv Surg] 2017 Jul; Vol. 9 (7), pp. 714-716. Date of Electronic Publication: 2016 Nov 24. - Publication Year :
- 2017
-
Abstract
- The annual cost of healthcare delivery in the USA now exceeds US$3 trillion. Fee for service methodology is often implicated as a cause of this exceedingly high figure. The Affordable Care Act created the Center for Medicare and Medicaid Innovation (CMMI) to pilot test value based alternative payments for reimbursing physician services. In 2015, the Medicare Access and CHIP Reauthorization Act (MACRA) was passed into law. MACRA has dramatic implications for all US based healthcare providers. MACRA permanently repealed the Medicare Sustainable Growth Rate so as to stabilize physician part B Medicare payments, consolidated pre-existing federal performance programs into the Merit based Incentive Payments System (MIPS), and legislatively mandated new approaches to paying clinicians. Neurointerventionalists will predominantly participate in MIPS. MIPS unifies, updates, and streamlines previously existing federal performance programs, thereby reducing onerous redundancies and overall administrative burden, while consolidating performance based payment adjustments. While MIPS may be perceived as a straightforward continuation of fee for service methodology with performance modifiers, MIPS is better viewed as a stepping stone toward eventually adopting alternative payment models in later years. In October 2016, the Centers for Medicare and Medicaid Services (CMS) released a final rule for MACRA implementation, providing greater clarity regarding 2017 requirements. The final rule provides a range of options for easing MIPS reporting requirements in the first performance year. Nonetheless, taking the newly offered 'minimum possible' approach toward meeting the requirements will still have negative consequences for providers.<br />Competing Interests: Competing interests: JAH consults for Medtronic. ABR is supported by a research grant from the Harvey L Neiman Health Policy Institute.<br /> (Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.)
- Subjects :
- Centers for Medicare and Medicaid Services, U.S. economics
Centers for Medicare and Medicaid Services, U.S. legislation & jurisprudence
Fee-for-Service Plans economics
Fee-for-Service Plans legislation & jurisprudence
Fee-for-Service Plans trends
Humans
Medicare economics
Medicare legislation & jurisprudence
Motivation
Patient Protection and Affordable Care Act economics
Patient Protection and Affordable Care Act legislation & jurisprudence
Physicians economics
Physicians legislation & jurisprudence
Physicians trends
United States
Centers for Medicare and Medicaid Services, U.S. trends
Health Expenditures trends
Medicare trends
Patient Protection and Affordable Care Act trends
Subjects
Details
- Language :
- English
- ISSN :
- 1759-8486
- Volume :
- 9
- Issue :
- 7
- Database :
- MEDLINE
- Journal :
- Journal of neurointerventional surgery
- Publication Type :
- Academic Journal
- Accession number :
- 27884928
- Full Text :
- https://doi.org/10.1136/neurintsurg-2016-012845