Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), (, ) commonly called the Permanent Doc Fix, is a United States statute. Revising the

Balanced Budget Act of 1997 The Balanced Budget Act of 1997 () was an omnibus legislative package enacted by the United States Congress, using the budget reconciliation process, and designed to balance the federal budget by 2002. This act was enacted during Bill Clinton's ...

, the Bipartisan Act was the largest scale change to the American health care system following the

Affordable Care Act The Affordable Care Act (ACA), formally known as the Patient Protection and Affordable Care Act and colloquially known as Obamacare, is a landmark U.S. federal statute enacted by the 111th United States Congress and signed into law by Pres ...

in 2010.

Provisions

MACRA's primary provisions are: * changes to the way Medicare doctors are reimbursed * increased funding * extension to the Children's Health Insurance Program (CHIP). MACRA related regulations also address incentives for use of health information technology by physicians and other providers. It created the Medicare Quality Payment Program. Clinicians can choose to participate in the Quality Payment Program through the Merit-based Incentive Payment System (MIPS) or Advanced Alternative Payment Models (APMs). MIPS is an incentive program that consolidates three incentive programs into one, for eligible physicians. APMs allow clinicians to earn incentives for participating in innovative payment models. In 2026, the conversion factor for both programs will be set at 0.75%. The

Government Accountability Office The U.S. Government Accountability Office (GAO) is a legislative branch government agency that provides auditing, evaluative, and investigative services for the United States Congress. It is the supreme audit institution of the federal gover ...

in partnership with DHHS is set to assist in the implementation of nationwide

electronic health records An electronic health record (EHR) is the systematized collection of patient and population electronically stored health information in a digital format. These records can be shared across different health care settings. Records are shared throu ...

H.R.2 - Medicare Access and CHIP Reauthorization Act of 2015
/ref> (EHR), while simultaneously comparing and recommending such programs for providers; the EHR goal is set for December 31, 2018 under MACRA. The US is set to transition from a fee for service system, which allowed physicians and providers to bill Medicare and

Medicaid Medicaid in the United States is a federal and state program that helps with healthcare costs for some people with limited income and resources. Medicaid also offers benefits not normally covered by Medicare, including nursing home care and per ...

for services they provided to their patients, to a pay for performance based system using MIP, APM, and Accountable Care Organizations (ACO).

* Health Insurance Portability and Accountability Act (HIPAA)

References

External links

* * * * {{cite web, title=MACRA, url=https://www.aapc.com/macra/, website=AAPC.com Acts of the 114th United States Congress Healthcare reform legislation in the United States Presidency of Barack Obama United States federal health legislation

Provisions

Related

References

External links