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President Obama signed into law H.R. 2, the Medicare Access and CHIP Reauthorization Act (MACRA) which permanently repealed the Sustainable Growth Rate (SGR), restructured Medicare pay for performance programs, and incentivized alternate payment models.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

New Resource Available to Better Understand MACRA
Learn MACRA impacts hospitalists and how to be prepared.

SHM Submits Comments on MACRA
SHM submitted comments to CMS surrounding the Medicare Access and CHIP Reauthorization Act (MACRA), that replaced the SGR and makes changes to physician payment. (June)

Proposed Rule for MACRA Just Released from CMS
The Medicare Access and CHIP Reauthorization Act of 2015, that replaced the SGR, has just been released as a proposed rule. Read the FAQs for hospital medicine here. (April)

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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.