Oakland Bridge

MACRA

Signed into law in April 2015, the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) replaced the badly broken sustainable growth rate (SGR) reimbursement formula with new "value-based" payment systems that have been developed by the Centers for Medicare and Medicaid Services (CMS) over the course of 2016.

MACRA establishes two different payment tracks that physicians may choose. The first track combines the current fee-for-service payment program and several existing CMS reporting programs (PQRS, Value-Based Modifier, and Meaningful Use) into a single, streamlined new program called the Merit-Based Incentive Program (MIPS). The second track, Alternative Payment Models (APM), is intended to allow physicians to design and develop their own models and submit them to CMS for approval.

In October 2016, CMS issued its final rule on MACRA implementation. The American Medical Association (AMA), the California Medical Association (CMA), ACCMA, and many other physician organizations advocated on your behalf to improve the final rule and make it more workable for physicians. This included meetings between ACCMA leaders and CMS officials to provide feedback on the proposed regulations. To help members manage MACRA implementation, the ACCMA has compiled a list of resources on MACRA. This list will be updated as more information and further resources become available.

To determine if you are eligible for the Merit-based Incentive Payment System (MIPS), click here.

Alameda-Contra Costa Medical Association - ACCMA Resources

ACCMA and Medical Insurance Exchange of California (MIEC), the doctor-owned professional liability insurance carrier sponsored by ACCMA, have teamed up with nationally recognized subject-matter experts to develop a free program to help physicians maximize reimbursement under MACRA.

  • Recorded 3-Hour Orientation Seminar: Deep-dive session for physicians, practice managers, and billers to begin developing a plan to earn incentives and maximize reimbursement.
  • On-demand Webinars on Creating a MIPS Success Roadmap:
    • Quality Measures 
    • Clinical Practice Improvement Areas 
    • Advancing Care Information 
    • Resource Use or Cost 
    • Security Risk Analysis
  • MIPS Navigator Online Measure Selection Tool: Free license for online tool that help you create a customized MIPS plan for your practice.

Enroll in the free ACCMA MACRA Assistance Program by calling 510-654-5383, or completing this form.

 

American Medical Association - AMA Resources

Centers for Medicare and Medicaid Services - CMS Resources

If you have questions about MACRA or would like additional assistance, contact David Lopez, ACCMA Associate Director of Advocacy and Policy, at 510-654-5383 or by email at dlopez@accma.org.