Sharon Grace
703.838-0033 ext. 393

October 14, 2016

AMGA Issues Statement in Response to the MACRA Final Rule
Expresses Concern that Readiness for Risk Not Rewarded

ALEXANDRIA, VA – The following statement can be attributed to AMGA President and Chief Executive Officer, Donald W. Fisher, Ph.D., CAE in response to The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) final rule released by the Centers for Medicare & Medicaid Services (CMS) today.

“Ultimately, MACRA is about moving the healthcare system toward one that is based on quality and value, a goal that AMGA shares with the Department of Health and Human Services as well as the Congress.  We remain concerned, however, that in its understandable desire to provide flexibility, particularly as the program begins, CMS does not adequately recognize or reward the providers and systems who have made the investments to improve quality and decrease costs.  We believe rewarding performance should be based on the value provided, not on size of the practice.

“We do appreciate the indication in the rule that CMS shares our goal of having Track 1 Accountable Care Organizations (ACOs) qualify as Advanced Alternative Payment Models (APMs). The Track 1+ program has the potential to reward ACOs that have made tremendous strides in caring for Medicare patients and will improve the viability of the ACO program going forward.

“AMGA appreciates the tremendous amount of work CMS devoted to drafting the MACRA Final Rule and its efforts in ensuring provider engagement in this process. We will continue to review the impact of the final rule on AMGA’s membership and we look forward to working with CMS to ensure MACRA’s success.

About AMGA
AMGA is a trade association leading the transformation of health care in America. Representing multispecialty medical groups and integrated systems of care, we advocate, educate, and empower our members to deliver the next level of high performance health. AMGA is the national voice promoting awareness of medical groups’ recognized excellence in the delivery of coordinated, high-quality, cost-effective care. More than 170,000 physicians practice in our member organizations, delivering care to one in three Americans. For more information, visit