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    7 things physicians need to know about MACRA proposed rule

     

    3. MACRA’s two paths to payment

    The MACRA proposal retains the structure that policymakers had previously laid out. For starters, all physicians will receive a 0.5% reimbursement rate increase from 2016 through 2019.

    Once the program is up and running, physicians can pick one of two routes that will determine how they will be paid: the merit-based incentive payment system (MIPS) or an advanced alternative payment model (APM).

     

    4. Most physicians will start with MIPS

    All physicians—with a few exceptions—will report through MIPS in the first year of the program. That data will then be used by CMS to determine which providers met the requirements for the APM track. Physicians are not locked into their choice—they can switch between MIPS and APM annually.

     

    Next: MIPS payment based on four performance categories

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    • Anonymous
      It will likely take 1 high salaried or 2 low salaried employees to do the required documentation for this nonsense. Another nail in the coffin for private practice. However, even very large group practices will struggle to meet these requirements.
    • Anonymous
      It will likely take 1 high salaried or 2 low salaried employees to do the required documentation for this nonsense. Another nail in the coffin for private practice. However, even very large group practices will struggle to meet these requirements.

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