MACRA Final Rule October 2016

On October 14th, CMS issued a final rule that will implement provisions of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). MACRA repeals the Medicare sustainable growth rate (SGR) physician fee schedule methodology and other payment models, and replaces them with a two-tracked Quality Payment Program (QPP).

The final rule establishes incentives for participation in Alternative Payment Models (APMs) and includes criteria for use by the Physician-Focused Payment Model Technology Advisory Committee (PTAC). The provisions of the final rule are effective on January 1, 2017. The attached document summarizes several major changed provisions of the final rule. The complete final rule is available here.