Insight

The Medicare Access and CHIP Reauthorization Act: implications for physician agreements

August 2017
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The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) creates powerful incentives for all physicians with more than 100 Medicare patients to report quality measures. These reporting requirements will be a new cost—one that small practices will struggle to implement.

At a glance

  • MACRA establishes a pay-for-performance formula by incentivizing defined quality, care improvement, and advancing care measures.
  • Hospital-based physicians will have to work with their hospital provider to collect data to submit to the Centers for Medicare & Medicaid Services.
  • To avoid a four percent annual reduction in Medicare Part B fees, clinicians will likely seek partners, sponsors, or employers to bear this cost.
  • Solo-practice physicians who elect to participate can seek assistance from their peers and hospital leaders.

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