After passing both houses of Congress with broad, bipartisan support, the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) was signed into law on April 16, 2015. As has been well publicized, MACRA changes the way Medicare pays physicians, repealing the sustainable growth rate (an aspect applauded by many cardiologists1), locking physician fee schedule growth near 0, and creating a new Quality Payment Program (QPP) to adjust physician payment. The US Centers for Medicare and Medicaid Services argues that these changes shift payment away from volume and toward value. However, there are a number of design features that create uncertainty and concern about how QPP will affect cardiologists.
Gilstrap LG, Joynt KE. MACRA and Cardiology—The Devil Is in the Details. JAMA Cardiol. 2017;2(11):1177–1178. doi:10.1001/jamacardio.2017.2412
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