Since MACRA made the transition from proposed legislation to bipartisan-supported law in 2015, its anticipated impact has stimulated countless conversations – and endless speculation. Since April, 2016, when CMS released draft rules for MACRA implementation, the dialog has only grown louder – and in many cases, more specific. In the interest of providing the clearest, best-informed picture of MACRA, its potential impacts and its ultimate implementation, NRHI Knows MACRA will use this space to share multiple perspectives – both pro-MACRA and otherwise. Please bear in mind: the content you’ll find here doesn’t necessarily reflect the opinions of NRHI or our members. But we’re confident the dialog will produce valuable insights for healthcare stakeholders at every level.

Stakeholder Perspectives

Analysis by Harold Miller of the Center for Healthcare Quality and Payment Reform (CHQPR) on how providers who qualify under the Comprehensive Primary Care Plus (CPC+) program could qualify as an Advanced APM under MACRA. Check out the pdf here Analysis by Harold Miller of Center for Healthcare Quality and Payment Reform (CHQPR) on “What CMS Should Do to Accelerate Implementation of Alternative Payment Models” Significant changes in the MACRA regulations proposed by CMS are necessary for encouraging the development and implementation of Alternative Payment Models, but regulatory changes alone are not sufficient.  The processes that CMS currently uses to implement APMs are far too slow and burdensome to achieve Congress’s goal of enabling as many physicians as possible to participate in APMs.  CMS must create better, faster ways to implement Alternative Payment Models that meet the requirements of the law and regulations. Read his analysis online here

CMS Perspectives

When CMS speaks, it makes good sense to listen. As the authors of MACRA’s draft rules – and the body responsible for revisions following the comment period – CMS brings perspectives on the intent of the rules, on their intended impact, and on implementation.

MACRA Comment Letters

On Monday, June 27, 2016, NRHI submitted a Comment Letter regarding MACRA Proposed Rules to the Centers for Medicare and Medicaid Services (CMS) on our members’ behalf. There was significant NRHI member engagement around the process of developing our collective comments, and the resulting letter identifies several critical areas where the final rules could be much more effective and impactful. Thank you again for your energy and input on this important piece of policy. We also encouraged members to submit their own letters from their regions. Comment Letters from other stakeholders

MACRA in the News

Holy MACRA! Half of docs have never heard of Medicare payment reform – Dave Barkholz, Modern Healthcare “Slavitt Suggests MACRA could be delayed” Modern Healthcare July13, 2016 CMS Issues Final MACRA Rule: Seeks to Allay Physicians’ Concerns About New Payment Rules MedPage Final MACRA Rule Expands Exemptions, Flexibility Modern Healthcare