The Senate Finance Committeeâ€™s bipartisan Chronic Care Working Group unveiled its latest draft proposal to improve care for Americans living with chronic conditions â€“ the Creating High-Quality Results and Outcomes Necessary to Improve Chronic Care Act of 2016 â€“ at a stakeholder meeting Thursday, October 27.
On Friday, October 14th, the Centers for Medicaid and Medicare (CMS) released the highly anticipated final rule for the Medicare Access & CHIP Reauthorization Act of 2105 (MACRA). MACRA is the repeals the sustainable growth rate (SGR) formula that determined Medicare Part B reimbursement rates for physicians and replaces it with new ways for paying for care. Further, this also ended the need for reoccurring legislative adjustments every year for the payment rates, often called â€œdoc fixes.â€ Under MACRA, participating providers will be paid based on the quality and effectiveness of care â€“ moving payment from value, not volume. These will be done through two value-based payment programs; Merit Based Incentive Payments System (MIPS) and Advanced Alternative Payment Models (APM).