A Systematic Approach to Performance Improvement Under MACRA’s Quality Performance Program

• January 25, 2019

The Medicare Access and CHIP Reauthorization Act (MACRA) is perhaps the most significant change to healthcare in the last half-century. Though the proverbial and long-anticipated volume-to-value shift in the industry has not yet materialized in most markets, MACRA will make this change real as CMS, the country’s largest payer, dramatically changes the way they pay participating providers.

The question, then, becomes how Medicare providers should prepare to operate successfully under MACRA? What must be done to optimize ones’ chances of receiving payment enhancements, as opposed to payment penalties, by 2019?

This paper outlines a step-by-step approach for providers both to prepare for and to thrive within the MACRA payment models of the future.