{"id":1220,"date":"2018-06-12T09:25:43","date_gmt":"2018-06-12T13:25:43","guid":{"rendered":"https:\/\/www.ncqa.org\/?page_id=1220"},"modified":"2020-07-23T13:18:38","modified_gmt":"2020-07-23T17:18:38","slug":"macra","status":"publish","type":"page","link":"https:\/\/www.ncqa.org\/public-policy\/macra\/","title":{"rendered":"MACRA"},"content":{"rendered":"

What Is MACRA?<\/h2>\n

MACRA became law in 2014 with broad support from medical societies, consumer advocates, insurance companies, and Democrats and Republicans alike. The law directs the Centers for Medicare and Medicaid Services (CMS) to reward efficient, patient-centered care by paying clinicians in traditional (fee-for-service) Medicare based, in part, on their performance on a range of quality metrics.<\/p>\n

Visit NCQA’s MACRA Toolkit<\/a><\/p>\n

Latest MACRA Blog Articles<\/h2>\n
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  1. \n
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    \n March 31, 2026<\/em>\n <\/p>\n\n

    HEDIS\u00ae Risk-Adjusted Utilization Tables: New Measures, Shared Table Updates and FAQs <\/i><\/h6>\n <\/div>\n <\/a>\n <\/div>\n <\/li>\n
  2. \n
    \n \n
    <\/div>\n
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    \n March 30, 2026<\/em>\n <\/p>\n\n

    What\u2019s New with PCMH: Practice Spotlight, Expanded Office Hours and Annual Reporting Changes <\/i><\/h6>\n <\/div>\n <\/a>\n <\/div>\n <\/li>\n
  3. \n
    \n \n
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    \n March 27, 2026<\/em>\n <\/p>\n\n

    NCQA Tests Person-Centered Outcome Measures With D-SNP Plans <\/i><\/h6>\n <\/div>\n <\/a>\n <\/div>\n <\/li>\n <\/ol>\n<\/div>\n\n

    MACRA & Clinician Payment<\/h2>\n

    MACRA established the Quality Payment Program (QPP) within Medicare. Under the QPP, clinicians will receive payments through either the new Merit-based Incentive Payment System (MIPS) or Alternative Payment Models (APM) as of 2019.<\/p>\n

    A clinicians\u2019 2019 payment will be based on what they report in 2017. Most clinicians are expected to participate in the MIPS track.<\/p>\n

    Clinicians in APMs that meet specific thresholds for revenue and numbers of patients will receive an automatic 5% bonus.<\/p>\n

    Clinicians in MIPS will get bonuses or penalties to their fee-for-service payments based on measures in four areas. The weighting of the four areas that make up MIPS scores will scale up until 2021, when they become permanent.<\/p>\n

    Here\u2019s the breakdown:<\/p>\n\n

    \n
    \n \n \n \n \n \n \n \n
    Payment Year<\/th>Resource Use\/Cost <\/th>Quality <\/th>Advancing Care Information <\/th>Clinical Practice Improvement Activities <\/th> <\/tr>\n <\/thead>\n
    2019 <\/td>\n 0% <\/td>\n 60% <\/td>\n 25% <\/td>\n 15% <\/td>\n <\/tr>\n
    2020 <\/td>\n 10% <\/td>\n 50%<\/td>\n 25% <\/td>\n 15% <\/td>\n <\/tr>\n
    2021+ <\/td>\n 15%<\/td>\n 45%<\/td>\n 25% <\/td>\n 15% <\/td>\n <\/tr>\n <\/tbody>\n <\/table>\n <\/div>\n<\/div>\n\n\n

    More on MACRA<\/h2>\n","protected":false},"excerpt":{"rendered":"

    What Is MACRA? MACRA became law in 2014 with broad support from medical societies, consumer advocates, insurance companies, and Democrats and Republicans alike. The law directs the Centers for Medicare and Medicaid Services (CMS) to reward efficient, patient-centered care by paying clinicians in traditional (fee-for-service) Medicare based, in part, on their performance on a range […]<\/p>\n","protected":false},"author":4,"featured_media":0,"parent":751,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page.php","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-1220","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"\nMACRA - NCQA<\/title>\n<meta name=\"description\" content=\"The Medicare Access and CHIP Reauthorization Act (MACRA) moves the fee-for-service Medicare program toward value-based care by paying clinicians based on the quality of services provided rather than simply the volume.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ncqa.org\/public-policy\/macra\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"MACRA - NCQA\" \/>\n<meta property=\"og:description\" content=\"The Medicare Access and CHIP Reauthorization Act (MACRA) moves the fee-for-service Medicare program toward value-based care by paying clinicians based on the quality of services provided rather than simply the volume.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.ncqa.org\/public-policy\/macra\/\" \/>\n<meta property=\"og:site_name\" content=\"NCQA\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/NCQA.org\" \/>\n<meta property=\"article:modified_time\" content=\"2020-07-23T17:18:38+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.ncqa.org\/wp-content\/uploads\/2021\/04\/NCQA_cmyk_tag.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"627\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:site\" content=\"@NCQA\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.ncqa.org\/public-policy\/macra\/\",\"url\":\"https:\/\/www.ncqa.org\/public-policy\/macra\/\",\"name\":\"MACRA - NCQA\",\"isPartOf\":{\"@id\":\"https:\/\/www.ncqa.org\/#website\"},\"datePublished\":\"2018-06-12T13:25:43+00:00\",\"dateModified\":\"2020-07-23T17:18:38+00:00\",\"description\":\"The Medicare Access and CHIP Reauthorization Act (MACRA) moves the fee-for-service Medicare program toward value-based care by paying clinicians based on the quality of services provided rather than simply the volume.\",\"breadcrumb\":{\"@id\":\"https:\/\/www.ncqa.org\/public-policy\/macra\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.ncqa.org\/public-policy\/macra\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.ncqa.org\/public-policy\/macra\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/www.ncqa.org\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Public Policy\",\"item\":\"https:\/\/www.ncqa.org\/public-policy\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"MACRA\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.ncqa.org\/#website\",\"url\":\"https:\/\/www.ncqa.org\/\",\"name\":\"NCQA\",\"description\":\"Measuring quality. 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