Upload
ngonga
View
217
Download
2
Embed Size (px)
Citation preview
MIPS
APMs
MACRAMedicare Access and CHIP Reauthorization Act of 2015
AT A GLANCE
MACRA signi�cantly changes how Medicare will reimburse rheumatologists and their practices in the future, and emphasizes quality, value, and physicians taking more �nancial risk.
APMsAlternate Payment
Models
Advancing CareInformation (MU)Electronic healthrecord
Value-basedModi�ers
PQRSPhysician QualityReporting System
Quality
Resource Use
Clinical PracticeImprovement
Advancing CareInformation (MU)Electronic healthrecord
Three separatesystems
Four categories, onecomposite score and report
Payment models that incentivizeproviders on quality, outcomes,
and cost containment
ACOsAccountable careorganizations
BundlesBundled payment models
Medical HomesPatient-centeredmedical homes
Other ModelsUnder development
To earn a bonus and avoid penalties, you must successfully participate in MIPS or APM.
MIPSMerit-based Incentive
Payment System
PRESENT FUTURE
rheumatology.org/MACRA
ExtendsCHIPChildren’s HealthInsurance ProgramSGR
Shifts FFS to P4PMedicare shifts from fee-for-service to pay-for-performance
Big Ideas About MACRA
Choose Payment PathwayMIPS or APM
RepealsSGRSustainableGrowthRate
MIPS and APMs will go intoe�ect over a timeline from
2015 through 2021 and beyond.