For more than two decades Congress and the federal government have wrestled with how to pay physicians in the Medicare program. The primary challenge of physician payment is determining fair fees and paying physicians in a way that promotes efficient, effective, and safe care. With these goals in mind the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 was passed and signed into law April 16, 2015. MACRA replaces to old Medicare Sustainable Growth Rate (SGR).
Under MACRA, between 2016 and 2019, physicians will receive a fee increase of 0.5 percent per year. From 2020 to 2025, no across-the-board fee increase will be granted because physicians treating Medicare beneficiaries will have been asked to choose between two newly designed payment paths which base payment on performance and quality metrics and participation in efforts to improve care and restrain cost growth.
Initially, physicians can choose a program called the MeritBased Incentive Payment System (MIPS) or join an alternative payment model such as an accountable care organization or patient-centered medical home. If they make no choice or are deemed to be ineligible for an alternative payment model incentive payment, they will be assigned to MIPS.
MACRA holds profound implications for the future of medical practice and is of great importance to hospitals and health systems, especially those which employ physicians, and for health plans and employers which contract with providers.
The MACRA Summit seeks to provide an overview of MACRA for beginners and a series of in-depth, advanced sessions on all aspects of the new law and draft regulations.
WHO SHOULD ATTEND
- Medical Directors
- Nurses, Nurse Practitioners and Other Allied Health Professionals
- Pharmacists and Pharmacy Benefit Managers
- Executives and Board Members of Physician Organizations,
- Health Systems, Hospitals, ACOs and Health Plans
- Representatives of Purchasers, including
- Private Employers and Public Purchasers
- Consumer Organization Representatives
- Federal and State Government Officials
- Health Care Regulators and Policy Makers
- Health Benefits Consultants
- Health Services Researchers and Academics
- Health Care Attorneys and In-house Counsel
- Chief Financial Officers
- Chief Innovation Officers
- Directors of Accountable Care
- Directors of Quality Management and Improvement
- Directors of Government Programs
- Directors of Medicare Programs
- Directors of Medicaid Programs
- Directors of Network Contracting
- Directors of Provider Relations
- Directors of Finance and Reimbursement
- Pharmaceutical Executives
- Pharmaceutical Consultants