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MACRA

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MACRA

MACRA is one of the most significant pieces of healthcare legislation in over a decade. Known as the Medicare Access and CHIP Reauthorization Act of 2015, this bi-partisan legislation was signed into law on April 16th, 2015, setting the course for a modern-day healthcare reformation. Whereas MACRA’s predecessor the Affordable Care Act of 2010 (ACA) focused on the expansion of and improvements in healthcare coverage, MACRA focuses on healthcare quality and value of care delivery by improving Medicare access and implementing healthcare payment reform.

MACRA

Understanding the Advanced Alternative Payment Model

By

Scott Hodgin

|

January 15, 2019

The Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 began a reformation of modern healthcare from fee-for-service (FFS) to value-based care. Among other policies, MACRA legislation repealed the Medicare Part B Sustainable Growth Rate (SGR) reimbursement methodology, and it initialized a phasing out...

MACRA

MACRA Made Easy

By

Scott Hodgin

|

January 15, 2019

MACRA is one of the most significant pieces of healthcare legislation in over a decade. Known as the Medicare Access and CHIP Reauthorization Act of 2015, this bi-partisan legislation was signed into law on April 16th, 2015, setting the course for a modern-day healthcare reformation. Whereas MACRA’s predecessor the...

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Value Based

Value-based Care vs Fee-for-Service

The healthcare industry is experiencing a transformation involving reimbursement payment models. The conventional fee-for-service (FFS) reimbursement model is slowly being replaced by the concept of value-based care, a reimbursement methodology that challenges the “volume-based care” associated with fee-for-service...

accountable-care-organization

ACOs vs HMOs: Here’s How They’re Different

Health systems and managed health care are inventions of the early 20th century, but it wasn’t until the early 1970s that Health Maintenance Organizations (HMOs) were defined as such and considered solutions for dangerously high healthcare costs. Although prevalent throughout the 1980s and 90s, HMOs for various reasons...

Value Based

Quality Over Quantity: What Value-based Care Means for Providers

The age of value-based healthcare is here, and the Centers for Medicare and Medicaid Services (CMS) has taken the lead in healthcare delivery and reimbursement reform. The strategy is driven by a three-part aim to offer better quality health, to improve patient healthcare experiences, and to deliver services at lower costs. CMS has designed an array of care programs and payment models that are meant to shift the focus of healthcare from volume-based care to value-based care, to change the mindset of providers in today’s healthcare system to focus on quality over quantity. However, this change is not a “light switch” type of adjustment, where providers can...