ABSTRACT
Center for Medicare and Medicaid Services (CMS) calculates a baseline value of zero, which will change to 30% beginning in 2019. Medicare Access and children’s health insurance program Reauthorization Act (MACRA) combines parts of the Physician Quality Reporting System, Value-based Payment Modifier, and Medicare Electronic Health Record incentive program into one single program called the Merit-based Incentive Payment System, (MIPS). MACRA does many things, but most importantly it establishes new ways to pay physicians for caring for Medicare beneficiaries. The law also includes new funding for technical assistance to providers, and funding for the development and testing of metrics, and it enables new programs and requirements for data sharing and establishes new federal advisory groups. MIPS considers actual performance improvement and risk to be based on cost quality and clinical practice improvement visits. More doctors will be excluded by CMS from participating in the MIPS in 2018.
