MACRA and Alternative Payment Models - What Comes Next?
Presenter: Eugene Rich, M.D. ERich@Mathematica-Mpr.com

Learning Objectives:

1. Discuss MACRA in the context of policy problems in FFS payments for clinicians
2. Describe the two MACRA pathways for future Medicare Physician Fee Schedule (MPFS) payments
3. Describe key elements of the Merit-based Incentive Payment System
4. Describe MACRA's new approaches to clinician payment:  APM's and PFPM's
5. Note some upcoming policy challenges for MACRA

Suggested Readings/Resources:

• CMS Quality Payment Program website at https://qpp.cms.gov/
• Merit-based Incentive Payment System (MIPS) program review at https://qpp.cms.gov/mips/overview and of the Alternative Payment Model (APM) at https://qpp.cms.gov/apms/overview 
• McWilliams JM. MACRA: Big Fix or Big Problem? Ann Intern Med. 2017 May 16:1-3.
  Rich EC, Reschovsky JD. After the "Doc Fix": Implications of Medicare Physician Payment Reform for Academic Medicine. Acad Med. 2016 Jul;91(7):900-3
• MedPAC's chapter #5 (pages 159-172) in its June 2017 Report to Congress: "Redesigning the Merit-based Incentive Payment System and strengthening advanced alternative payment models" at http://medpac.gov/docs/default-source/reports/jun17_reporttocongress_sec.pdf 

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