Category Archives: Health Care Reform: Payment Reform

American Medical Association: Action Kit on MACRA Proposed Rule

The American Medical Association (AMA) has published an “Action Kit” summarizing the proposed rule implementing the Medicare Access and CHIP Reauthorization Act (MACRA) and highlighting its preliminary comments and recommendations for changes to the proposed rule. Among the issues that the … Continue reading

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Centers for Medicare and Medicaid Services: MACRA Proposed Rule Fact Sheet about Small Practices

The Centers for Medicare and Medicaid Services (CMS) has published this fact sheet describing how small group physician practices (defined as practices with 15 or fewer physicians) and practices in rural or health professional shortage areas will be impacted and accommodated … Continue reading

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MACRA Physician-Focused Payment Model Technical Advisory Committee Issues Draft Proposal Review Process

The Physician-Focused Payment Model Technical Advisory Committee established by the Medicare Access and CHIP Reauthorization Act (MACRA) has issued a draft Proposal Review Process to review and recommend “physician-focused” Alternative Payment Models (APMs) for implementation through MACRA. The legislation established this … Continue reading

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Centers for Medicare and Medicaid Services: Additional Resources on MACRA Proposed Rule

The Centers for Medicare and Medicaid Services (CMS) has made available two additional resources about its proposed rule implementing the Medicare Access and CHIP Reauthorization Act (MACRA).  The first resource is a set of slides describing the proposed rule. Link to Original … Continue reading

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Centers for Medicare and Medicaid Services: List of Alternative Payment Models (APMs) under MACRA Proposed Rule

Buried deep (on pages 501-502) in the 900+ page pre-publication version of the Centers for Medicare and Medicaid Services (CMS) proposed rule implementing the Medicare Access and CHIP Reauthorization Act (MACRA) is Table 32, which lists current Alternative Payment Models (APMs) … Continue reading

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Community Catalyst: Consumer Policy Platform for Health System Transformation

Community Catalyst has published this policy platform for health system transformation from a health consumer perspective. When using the framework of the “triple aim”, consumers should be asking: whether “better care” focuses on improving care for people with multiple chronic … Continue reading

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Centers for Medicare and Medicaid Services: Fact Sheet on MACRA Proposed Regulations

The Centers for Medicare and Medicaid Services has published this useful summary of its proposed rule implementing the Medicare Access and CHIP Reauthorization Act (MACRA): Link to Original Source

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Centers for Medicare and Medicaid Services: Proposed Rule to Implement Medicare Access and CHIP Reauthorization Act (MACRA)

The Centers for Medicare and Medicaid Services (CMS) has published its much-anticipated proposed rule to implement the Medicare Access and Childrens’ Health Insurance Program (CHIP) Reauthorization Act (MACRA), which replaces the Sustainable Growth Rate formula for how fee-for-service or traditional Medicare … Continue reading

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RWJF-Health Affairs Policy Brief: Medicare’s New Physician Payment System

This Health Affairs-Robert Wood Johnson Foundation policy brief describes the key issues  for implementing the new Medicare physician payment system under the 2015 Medicare Access and Children’s Health Insurance Program (CHIP) Reauthorization Act (MACRA). In 2014, Medicare paid physicians and … Continue reading

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California Primary Care Association: California Alternative Payment Methodology Pilot

The California Primary Care Association (CPCA) has been working in partnership with the California Association of Public Hospitals and Health Systems to develop a three-year pilot program for testing alternative payment methodologies (APMs) at California’s Federally Qualified  Health Centers (FQHCs) … Continue reading

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