CMS released the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) Final Rule in October 2016. In this Final Rule, the Centers for Medicare & Medicaid Services (CMS) directly addressed several issues that ASA advocated for earlier in 2016..
Beginning in 2019 (based upon eligible clinician performance in 2017), Medicare payments will be made based in part upon an eligible clinician's participation (dependent upon patient population and volume) in one of two broad categories: payments through the Merit-based Incentive Payment System (MIPS) or through an Alternative Payment Model (APM). For MIPS, physicians will be scored by CMS on a 0-100 point scale based upon their performance in four categories: Quality, Cost, Advancing Care Information (Meaningful Use of Certified Electronic Health Record Technology) and Improvement Activities. For APMs, CMS has released a number of materials describing how eligible clinicians and practices may participate in the APM pathway.
- For general information on MIPS component categories, please link to the pages below.