URAC applauds the Centers for Medicare and Medicaid Services (CMS) for creating a new Medicare reimbursement plan setting physicians on a course to provide more coordinated and accountable delivery of care.
Commenting on the recently released final rule for implementing the Medicare Access and CHIP Reauthorization Act (MACRA), URAC President and CEO Kylanne Green said:
As an organization that has spent more than 25 years promoting quality improvement in healthcare through an iterative learning process, we are heartened by CMS’ renewed focus on quality in the MACRA final rule. URAC’s programs are built on the idea that flexibility, sustainability, and quality improvement are not mutually exclusive, and we applaud CMS’ effort to include these principles in the Quality Payment Program.
URAC supports CMS’ efforts to align the four categories for the MIPS program. We believe this alignment and increased simplification are essential for physicians and clinicians to succeed in MIPS.
While quality measurement is important, URAC believes that how one achieves a quality outcome is just as important as the outcome itself. It is for this reason that we believe the improvement activities under MIPS are key as they promote better care and serve as foundational elements for success in Alternative Payment Models.
This rule represents the initial step in a journey toward value-based reimbursement and URAC looks forward to working with CMS to promote patient-centered, quality care.
Passed by an overwhelming and majority in Congress and signed into law in 2015, MACRA changes how the government reimburses providers serving Medicare beneficiaries. In transitioning to a more value-based system from the traditional fee-for-service model, MACRA creates the Merit-Based Incentive Payment System (MIPS) and Alternative Payment Model (APM) reimbursement options that require increased coordination of care and reporting of performance quality by participating providers.
The entire 2,205-page final MACRA rule can be viewed here.