Navigating Thru the MACRA Maze

Navigating Thru the MACRA Maze
Join us for an opportunity to learn from our experts as they help provide guidance on how to navigate the
Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).

Date: December 1
Time: 2:00 pm – 5:00 pm
Location: Frye Regional Medical Center – Heart Tower Lobby
420 N Center Street
Hickory, North Carolina 28601

Panelists:
Sherri Bryant, Vidant Health
Coleman Smith, Himformatics
Mary McCaskill, NC AHEC Program
Lori Harrington, Premier

Registration is just $15. Click here to register.

The Medicare Access and CHIP Reauthorization Act (MACRA), which is slated for final rule this fall, replaces former Sustainable Growth Rate (SGR) reimbursement provisions in favor of a new payment model centered on pay-for-performance and designed to promote better quality of care. Under the new framework physicians have two new reimbursement program paths.

The Merit-based Incentive Payment System (MIPS) combines three existing healthcare incentive programs – the Physician Quality Reporting System (PQRS), the Meaningful Use/EHR incentive program and the Value-based Payment Modifier (VBM) – into a new composite performance score. Based on how eligible professionals (EPs) fare, they will receive either a bonus, a penalty or no adjustment on Medicare payments.

Alternative Payment Models (AMP) will offer qualifying providers annual payment bonuses when physicians earn significant revenue or see sufficient patient percentages through qualifying Medicare or payer models, requiring the acceptance of some financial risk if spending surpasses targets. Accountable Care Organizations (ACOs), Patient Centered Medical Homes and bundled payment models are some APM examples.

What can we do today to be ready? Let’s start with education and communication, so we can navigate and be ready to change course as needed for tomorrow.