As a top priority, PCPI will focus many of its activities over the next three years to support its member organizations, and their members, in the successful adoption of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). MACRA makes three key changes to how Medicare pays for the care provided to Medicare beneficiaries. These changes include:
  1. ends the Sustainable Growth Rate formula for Medicare payments for health care provider services;
  2. creates a new framework for rewarding health care providers for giving better care; and
  3. combines existing quality reporting programs.  
Combined, these changes are called the Quality Payment Program (QPP) with the goal of paying for value and better care. The QPP has two paths – the Merit-Based Incentive Payment System (MIPS) and Alternative Payment Models (APMS) – both of which require a rigorous performance measure of quality and resource use, and participation in clinical practice improvement activities.

On Monday, June 27, PCPI submitted a response to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) proposed rule. Read the full response.