In: Economics
1. Why did Congress enact MACRA and what are the two ways a physician can participate in MACRA?
The Medicare Access and CHIP Reauthorization Act (MACRA), planned by Congress in 2015, was intended to eliminate a long-standing conundruma (confusing and difficult problem) about how to determine Medicare reimbursement rates for physician services.
* It's a bid to overhaul and modernize the way healthcare providers report information necessary before getting paid. With a goal to reduce the burden of healthcare costs on American taxpayers, MACRA is designed to help providers report data on the quality of services.
The two ways a physician can participate in MACRA
Doctors have two reimbursement choices: The Merit-based Incentive Payment System (MIPS) is the default system, while some doctors will be paid under the Advanced Alternative Payment Models (Advanced APMs)
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