MACRA Consulting
Gain a better understanding of MACRA and how it affects your practice.
Cape Fear Management Solutions offers MACRA Consulting to help alleviate the issue of figuring out how the Medicare Access & CHIP Reauthorization Act (MACRA) works for your offices.
Medicare is moving toward value-based payment systems, and the sooner your practice starts implementing this way of thinking, the better off you'll be. We will help you understand the MACRA Quality Payment Program’s Merit-Based Incentive Payment System (MIPS) and Alternative Payment Models (APM) and weigh the advantages and risks to help you choose the payment system that's right for your practice.
MIPS
Under the MIPS method, starting in 2017, Medicare will look at quality, cost, advancing care information, and improvement activities. Each provider will be scored on a scale of 0-100. Based on this score, the provider can receive a bonus or a penalty, unless they are at the performance threshold, which means no adjustment is needed.
APM
APMs include accountable care organizations (ACOs), bundled payments, and patient-centered medical homes. To become an Advanced Alternative Payment Model, the APM must:
- Make participants take on financial risk.
- Base payments on already established quality measures (like those in the MIPS quality category).
- Use certified EHR technology.
The list on Advanced APMs will be updated yearly, the 2017 list includes:
- Comprehensive ESRD Care Model (Large Dialysis Organization arrangement)
- Comprehensive ERSD Care Model (Non-LDO Arrangement)
- Comprehensive Primary Care Plus (CPC+)
- Medicare Shared Savings Program—Track 2
- Medicare Shared Savings Program—Track 3
- Next Generation ACO Model
- Oncology Care Model Two-Sided Risk Arrangement
