MACRA was enacted to replace the Sustainable Growth Rate Model with a value-based system, in order to provide physicians with a more sustainable payment system. Physicians are now rewarded for value rather than volume with the Quality Payment Program created by MACRA. While there is a significant upside for those who have stronger scores, payments from CMS can also result in penalties, if organizational weaknesses are not identified and improved and in turn reporting is not done accurately. It is important to note that MACRA applies only for Medicare Part B (physician services) and Children’s Health Insurance Program (CHIP).

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