Although the details for implementation are still in flux, the Medicare Access and Chip Reauthorization Act (“MACRA”) became law in 2015 and takes effect in 2018. The law was created, largely, to mitigate traditional “fee-for-service” reimbursement models for physicians by moving towards a more value-based system of care; providers are to be compensated for better care, not just more care. Over time, physicians will be moved into one of two payment tracks based on eligibility: the Merit-Based Incentive Payment System (“MIPS”) or an Alternative Payment Model (“APM”).

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