COMPLIMENTARY RESOURCE • CLINICAL INNOVATORS COUNCIL


What is MACRA?


This is part five of a five-part series: Medicare and the Transition to Value-Based Care

About this briefing

Passed in 2015, MACRA is arguably the most monumental legislation for Medicare physician payment from the last decade. MACRA combines parts of the Physician Quality Reporting System (PQRS), the Value-Based Payment Modifier Program (VBM), and the Medicare Electronic Health Record (EHR) Incentive Program into a single, points-based system—the Merit-Based Incentive Payment System (MIPS).

Not surprisingly, there’s a lot of confusion surrounding how MIPS impacts health care providers. As an a field sales rep, an account executive, a medical liaison, or a customer service manager, you need to know the ins and outs of MACRA, including how CMS holds physicians accountable for the quality of care they deliver.

In the last part of our five-part educational series, you’ll learn important program acronyms and definitions, a breakdown of two new payment tracks—MIPS and the Advanced APM—and how MACRA continues to evolve.

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