Which MACRA Track Makes Sense?

At the heart of the new Medicare physician payment plan, outlined in an April 27 proposed rule, is a key question for hospitals and physicians: “Which of the participation tracks makes the most strategic sense?” says AHA’s Akin Demehin, senior associate director of policy.

The two Medicare Access & CHIP Reauthorization Act tracks introduce new acronyms: the Merit-based Incentive Payment System, or MIPS, and the advanced Alternative Payment program (APM).

MIPS is the default track that the Centers for Medicare & Medicaid Services culled from the current physician quality reporting and meaningful use programs. Under MIPS, a pay-for-performance approach, physicians receive annual bonuses or penalties — beginning at 4 percent in 2019, the first payment year — based on their performance in four categories: quality, resource use, health information and clinical practice improvement.

By Maggie Van Dyke

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