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MACRA and Physician Payment

On April 16, 2015 President Obama signed into law H.R. 2, the Medicare Access and CHIP Reauthorization Act (MACRA) which permanently repealed the Sustainable Growth Rate (SGR), restructured Medicare pay for performance programs, and incentivized alternate payment models. 

To replace the SGR, MACRA created two pathways for physician payment:

  • The Merit Based Incentive Payment System (MIPS) which combines PQRS, physician value-based payment, and Meaningful Use into one streamlined system; and
  • Alternate payment models (APMs) that exempt providers from the MIPS, and give a 5% Medicare payments bonus.
Learn more about the impacts of MACRA and how to be prepared


Recent Activity

SHM Submits Comments on Proposed MACRA/QPP
SHM submitted comments to CMS on proposed changes to the Quality Payment Program (QPP)/MACRA including facility alignment. (August)

MACRA Resources: MIPS Tips and MACRA FAQ
Learn more about the new Quality Payment Program (QPP) and MACRA.

MACRA for Hospital Medicine
Learn MACRA impacts hospitalists and how to be prepared.

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What Can Hospitalists Do?

  • Stay informed. As the Centers for Medicare and Medicaid Services (CMS) implement the provisions in MACRA over the next few years, hospitalist practice will be impacted. Read FAQs on MACRA.
  • Join the conversation. Visit the advocacy and public policy community on HMX. Or tweet us @SHMAdvocacy.

What is SHM doing?

  • Participated in the development of MACRA and will continue to be involved as the policies are implemented. Visit Letters to Congress to see SHM’s involvement in MACRA implementation.
  • Will be closely monitoring MACRA’s pay for performance program, the MIPS and providing comments to CMS on behalf of hospitalists.
  • Will continue to develop hospitalist-specific resources around the new programs, and will update the MACRA website with new information as it becomes available.