New Medicare Merit-Based Incentive Payment System: Navigating Changes Under MACRA

The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) enacted significant Medicare payment reform. Congress put an end to the Medicare Part B Sustainable Growth Rate (SGR) reimbursement formula and established the Merit-Based Incentive Payment System (MIPS).

Under the new framework, the fee-for-service structure is supplanted by a system emphasizing higher quality service with greater patient-centered focus. Medicare payments will be adjusted based on each physician’s performance in four performance categories: quality, resource utilization, clinical practice improvement activities and advancing care information.

Counsel to to healthcare systems and independent physicians must prepare now and quickly learn and understand the new MACRA requirements to meet the proposed Jan. 1, 2017, deadline for performance and reporting obligations that will determine professional payments for 2019.

Listen as our authoritative panel discusses the changes in the payment/reimbursement models, focusing on MIPS, as well as the challenges posed by the new models. The program would also cover what healthcare providers and their counsel need to do to be ready for the new system.

1. Changes in payment/reimbursement models under MACRA
2. MIPS
3. Challenges posted by the new models
4. What healthcare providers and their counsel need to do to be ready for the new system

The panel will review these and other key issues:

• Who does MIPS apply to and what factors impact a physician’s MIPS score?
• What does MIPS offer over the Alternative Payment Models?
• What changes will providers need to have in place in order to be ready to meet the performance and reporting obligations?