AMGA MACRA and Risk Initiative
Insights and Action. Both are needed to understand and plan for the sweeping changes to physician payments brought on by The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Change is coming, but with AMGA as your partner, you won't be caught unprepared.
Our comprehensive initiative is aimed at helping members wherever they might be on the MACRA readiness spectrum, whether you're looking for a concise summary of the proposed MACRA rule, details on the two track payment systems, or a customized workshop to set your strategy. Our MACRA and Risk Initiative will provide the insights to prepare you for action.
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What is MACRA?
On April 16, 2015, President Obama signed into law the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), changing the health care financing system in the most significant and far reaching way since the Program's inception in 1965.
MACRA repealed the Sustainable Growth Rate (SGR) payment system which governed how physicians and other clinicians were paid under Part B of the Medicare program.
It replaced the SGR, and its fee-for-service (FFS) reimbursement model, with a new two-track system that requires physicians and clinicians to accept downside risk: Merit-based Incentive Payment System (MIPS) and Alternative Payment Models (APMs).
MACRA will fundamentally change how Medicare pays physicians and other clinicians who participate in the program. Importantly, it represents the decision by Federal policymakers in Congress and the Department of Health and Human Services that mandating provider risk is the best mechanism to improve quality and reduce costs within Medicare.
While MACRA only impacts Medicare payments, commercial payers typically follow Medicare’s payment models and it is likely that risk will be more prominent in the commercial setting over the next several years.
Learn how MACRA will affect your organization.
Are providers ready to take risk?
More than half are ready to take on risk, but obstacles remain. Read more >
Have a specific question on the new physician payment system? We welcome your questions and feedback.