Healthcare policy and future reimbursements are changing rapidly. This is a terrific editorial and article that summarizes the future of the Medicare Access & CHIP Reauthorization Act (MACRA) and Merit-Based Incentive Payment System (MIPS). In just over three years, MACRA will consolidate the Physician Quality Reporting System, Meaningful Use, and the Value-Based Payment Modifier into a single program that further promotes value-based care. MIPS will negatively influence at least half of physician payments unless you fall under an Alternative Payment Model (APM) like an ACO. Meanwhile, physicians in a qualifying APM will receive a 5% annual bonus between 2019-2025 and won’t face the performance bonuses/penalties under MIPS. Today, rural health clinics and FQHCs are exempt. The National Rural Accountable Care Consortium will continue to educate and advocate for rural providers as these changes develop over the next 3 years.
Article and editorial from the American Assoication of Family Physicians. (AAFP). All rights reserved.