The Quality Payment Program started on January 1, 2017. Prior to the QPP, payment increases for Medicare services were set by the Sustainable Growth Rate (SGR) law. This capped spending increases according to the growth in the Medicare population, and a modest allowance for inflation. However, as clinicians increased their utilization of services, the reimbursement […]
By Abhinav Shashank – Currently, one of the most discussed topics in the Healthcare industry is MACRA. A complex 962-page document, which is supposed to redesign the entire healthcare industry. Know all about MACRA in 6 questions.
By Jordan Kiszla & Rachel Nuzum – HHS issued a proposed rule to implement MACRA. Congress passed this bipartisan legislation last year to replace the sustainable growth rate formula (SGR)—which tied the growth of Medicare physician payments to growth in the economy—with an approach that rewards high-performing providers and supports alternative payment models.
By Jeff Jones – The healthcare industry has unveiled another addition to the already enormous alphabet soup. This new addition goes by the name MIPS, or more properly, Merit-based Incentive Payment System. Healthcare providers are scrambling to better understand how MACRA, Meaningful Use, and MIPS will impact their practices.
CMS has released the first proposed update to the physician payment schedule since the repeal of the Sustainable Growth Rate through the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).
In the film Lost in Translation as the end of their time together approaches, Scarlett Johansson tells Bill Murray “Reality changes things…we can’t stay here forever.” One of the core reforms in the SGR bill (H.R. 2) is a move from a physician payment system that rewards volume to one that rewards value. The move to measuring and paying for value means the reality of SGR has changed things.
H.R. 2, the bipartisan Sustainable Growth Rate (SGR) Repeal and Medicare Provider Payment Modernization Act of 2015 passed the House and has moved to the Senate. They have until March 31st to repeal the SGR in place. Here are highlights from #SRG just hours after the vote. House passes first real entitlement reform in decades […]
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