Features  |   June 2017
Improvement Activities Under the Merit-based Incentive Payment System
Author Affiliations
  • Richard P. Dutton, M.D., M.B.A.
    Committee on Quality Management & Departmental Administration
  • Teodora Orhideea Nicolescu, M.D., M.B.A.-H.C.M.
    Committee on Quality Management & Departmental Administration
Article Information
Practice Management / Quality Improvement / Features
Features   |   June 2017
Improvement Activities Under the Merit-based Incentive Payment System
ASA Monitor 06 2017, Vol.81, 12-15.
ASA Monitor 06 2017, Vol.81, 12-15.
The Medicare Access and CHIP Reauthorization Act (MACRA) was passed in April 2015 with the bipartisan support of Congress. MACRA replaces the unpopular Sustainable Growth Rate formula for adjustment of Medicare payments to physicians. MACRA is intended to accelerate the transition from volume to value-based payments. MACRA outlines two pathways in its Quality Payment Program.
The first pathway, known as Alternative Payment Models (APMs), may apply to some practices participating in arrangements that include, but are not limited to, Accountable Care Organizations. Advanced APMs, a subset of this first pathway, applies to groups with greater than 25 percent of their payments coming through certain payment models featuring two-way risk sharing. This is something few, if any, anesthesia groups will achieve in the near future.
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