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MACRA Resources

The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) changes the way psychiatrists and other physicians working with Medicare patients will be paid. The goal is to reimburse care based on quality and value rather than the number of services you provide. 

Take Action Now to Avoid Medicare Penalties

The APA has developed a resource which includes detailed instructions on how psychiatrists can clarify their status under the Merit-based Incentive Payment System (MIPS) and what they can do now to earn higher payments and avoid future penalties.

Check your participation status, click here (and have your NPI number handy!)

Download Fact Sheet

 

Where Can I Get Help and More Information?

Payment Reform is Coming

The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) changes the way psychiatrists and other physicians working with Medicare patients will be paid. The goal is to reimburse care based on quality and value rather than the number of services you provide. Before the final rule was announced, the APA raised several concerns about MACRAs impact on psychiatry and their advocacy efforts paid off. To break down the new rule, the APA is working on a web-based toolkit and webinar series to help members understand the new MACRA rule. Learn more at psychiatry.org/MACRA.

MACRA Frequently Asked Questions

Here are some Frequently Asked Questions that NCPA has been receiving regarding MACRA and payment reform. The APA has great information on its website, so we have tried to answer these questions briefly and then provide the website link that will give you more information.

Q: What is MACRA?

Q: Do I have to participate in MACRA?

Q: What is the Merit-Based Incentive Payment System (MIPS)?

Q: What is the easiest way to do MIPS reporting?

Q: What is the Advanced Alternative Payment Model (Advanced APM)?

Q: Will the “pick your pace” reporting continue in 2018?

Q: What is the length of time for which one needs to report?

Q: What is the timeline? What do I need to do first? By when? What next?

Q: How much time will it take?

Q: Where Can I Get Help and More Information?

Merit-Based Incentive Payment System (MIPS)

MIPS combines portions of three quality programs: Meaningful Use (MU), the Physician Quality Reporting System (PQRS) and the Value-Based Payment Modifier (VBM). MIPS also adds a new category of Clinical Practice Improvement Activities. 

Providers receive payment adjustments based on measures of quality, resource use, advancing care information (EHR use) and clinical practice improvement. 

Learn More About MIPS


Alternative Payment Models (APMs)

APMs include Accountable Care Organizations, Bundled Payments and Medical Homes. Participating in an advanced APM can exempt you from MIPS, and can lead to more favorable financial incentives, including a potential 5% lump sum bonus payment. Choosing an APM requires you to meet quality, financial risk and payer/revenue mix measurements.

Learn More about APMs