MACRA & MIPS Consulting Services | Optimize MIPS Healthcare Performance
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MACRA Sets The
Rules. MIPS
Determines The
Outcome.

MACRA healthcare defines how Medicare pays. Most providers participate in MIPS healthcare, while others qualify for Advanced APMs. Our MIPS consulting services and MACRA consulting experts guide organizations through MIPS and MACRA, helping improve performance scores, maximize MIPS Medicare reimbursement and protect long-term Medicare revenue.

Navigate MACRA

When MACRA Creates Financial Risk

MACRA healthcare wasn’t designed to be confusing, but for many providers, it becomes exactly that. For most Medicare-participating providers in the U.S., MIPS healthcare is not optional, it’s the default. Organizations often enter MIPS without clarity on whether Advanced APMs are viable and end up managing performance after the year is already over. This is where MIPS consulting stops being tactical – and starts being strategic.

logoMACRA Track Chosen Without Clear Strategic Direction
logoMIPS Performance Tracked Too Late Internally Across Departments
logoQuality Reporting Operating Outside Daily Clinical Workflows

One MACRA MIPS Strategy. Zero Guesswork.

3Gen Consulting delivers MACRA consulting that treats MIPS and Advanced APMs as operating models, aligning compliance, quality, and reimbursement from the start.

iconMACRA Track Assessment

Evaluate whether MIPS or Advanced APMs fit your organization clinically, financially, and operationally.

iconClinician Eligibility Identification

We determine who must report, who is exempt, and where risk exists under MACRA MIPS rules.

iconPerformance Monitoring

MIPS healthcare performance is tracked and benchmarked against CMS thresholds and peers.

iconQuality Measure Selection Strategy

We select measures that align with clinical reality and maximize MIPS scoring potential.

icon Reporting Governance

We manage reporting accuracy, timelines, and CMS alignment to eliminate last-minute risk.

iconOngoing MIPS Tracking

MIPS is dynamic. We proactively monitor performance throughout the year – not after submission.

Your Success Story Starts Here

ChallengeChallenge

A multi-specialty provider group defaulted into MIPS without clarity on MACRA pathways, leading to inconsistent performance and penalty exposure.

SolutionSolution

3Gen applied structured MIPS consulting services, aligning MACRA track selection, clinician eligibility, and performance monitoring.

ExecutionExecution

We embedded MIPS performance tracking into operational workflows and benchmarked progress against CMS scoring trends throughout the year.

Patient Story

Based on current client experiences, providers gain stronger control over MIPS Medicare outcomes, improved predictability, and reduced compliance risk across performance categories and reporting cycles. Outcomes vary by specialty, volume, and reporting complexity.

  • 18% improvement in overall MIPS score
  • 35% increase in quality category performance
  • 0 submission penalties across reporting year
Lets Create Your Success StoryLets Create Your Success Story
The 3Gen Difference

MACRA Healthcare Guidance That Doesn’t Disappear

MACRA and MIPS evolve every year. We don’t hand you a report and walk away. 3Gen stays accountable – advising, monitoring, and adjusting your strategy as CMS rules and performance realities change.

Partner With MACRA ExpertsPartner With MACRA Experts

The 3Gen Advantage

MACRA rewards foresight, discipline, and execution. That’s where we operate best.

logosMACRA-First Strategic Lens

We start with MACRA healthcare structure – not isolated MIPS tasks.

logosPredictive Performance Management

We forecast outcomes early – before penalties or missed incentives occur.

logosClinical Workflow Alignment

Your MIPS and MACRA strategy works inside real care delivery, not outside it.

logosContinuous CMS Rule Alignment

As MIPS and MACRA evolve, your MACRA consulting strategy evolves with them.

Is Your MACRA Strategy Working?

Let’s assess your MIPS performance before CMS does.

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Connect with our experts to:

  • Clarify MIPS vs AAPM eligibility
  • Improve MIPS healthcare performance
  • Reduce Medicare payment risk

Continue The Journey

Expand your operational edge. Discover complementary services that elevate revenue, strengthen compliance, and streamline workflows.

Healthcare Management

Healthcare Management

Operational strategy that improves performance.

Learn More
Payer Contract Review

Payer Contract Review

Negotiate reimbursement from a position of data.

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Provider Credentialing

Provider Credentialing

Ensure compliance and provider readiness.

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Revenue Cycle Automation

Revenue Cycle Automation

Streamline workflows and accelerate cash flow.

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Discover Additional SolutionsDiscover Additional Solutions

FAQs

Straight answers to the MACRA and MIPS questions providers quietly worry about – but rarely get explained clearly.

Talk to An ExpertTalk to An Expert

MIPS and Advanced APMs are both pathways under MACRA healthcare. Most providers fall into MIPS healthcare by default, making MIPS consulting essential to avoid penalties and unlock incentive opportunities.

Choosing between MIPS and MACRA Advanced APMs requires evaluating financial risk tolerance, clinician eligibility, payer mix, and operational maturity – not guesswork or assumptions.

Because MIPS Medicare performance is often tracked after the performance year, disconnected from clinical workflows and revenue operations – which is where effective MIPS consulting services change outcomes.

Yes. With ongoing monitoring, measure optimization, and benchmarking, MIPS consulting can materially improve scores within the same performance year – not just after penalties hit.

Minimal compliance often leads to missed incentives, negative payment adjustments, and long-term Medicare revenue erosion – especially as MACRA MIPS thresholds continue to rise.

3Gen delivers MACRA consulting that integrates strategy, clinical reality, and continuous performance oversight – not one-time reporting support – so providers stay ahead as MIPS and MACRA evolve year over year.

Explore our strategic insights & resources

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