The Opportunity Facing US: How MACRA Can Transform Our Community

The traditional fee-for-service payment model has proven to be a barrier for achieving payment reform, failing to provide the right tools and incentives to improve the way care is delivered and to improve health outcomes. Congress made important progress in removing this barrier through passage of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), which reforms how physicians are paid and advances payment systems that reward value, rather than volume, of care.

For these critical reforms to have their desired impact on nationwide health care delivery, they must be implemented in a manner that makes success widely attainable and sustainable. This unprecedented transformation must be implemented in a manner that provides practical and digestible information tailored to the unique needs to communities and marketplaces throughout the country.

September 1, 2016, the Kentuckiana Health Collaborative and the Network for Regional Healthcare Improvement (NRHI) held The MACRA Playbook conference to help employers, providers, payers, and consumers throughout Kentucky and neighboring regions to work collectively – using a multi-stakeholder approach – to accomplish this transformation.

MACRA’s Quality Payment Program

April 18, 2017 – CMS has a website that provides an overview of the how the Quality Payment Program (QPP) works. Additionally, the website allows exploration of the measures and access to educational resources and tools. Click here for more information

On September 8, 2016, CMS announced some wiggle room with start dates by allowing providers to pick their pace. The final rule is expected in November of 2016.

Why Should Employers Care About MACRA?

In July 2016, the KHC hosted a group of Louisville employers to explain the new MACRA legislation and why employers should be paying attention to the most transformative payment legislation in nearly twenty years. Elizabeth Mitchell, President and CEO of
Network for Regional Healthcare Improvement (NRHI), and David Lansky, Ph.D., President and CEO of Pacific Business Group on Health (PBGH), created a joint video for the event titled, “Why employers should care about MACRA.”

NRHI’s MACRA 101 and 201 Sessions

In May 2016, NRHI hosted a MACRA 101 session designed to give a high-level overview of the landmark piece of legislation, the context, and what HealthDoers most need to put on their radars covering 5 key areas:

  • APMs/MIPs
  • Data Sharing
  • Measures and Measurement
  • New Care Models, and
  • Technical Assistance

In July 2016, NRHI hosted the MACRA 201 session with a focus on data sharing. David Kendrick (MD, MPH) of MyHealth Access Network and Jason Buckner, SVP of Informatics at The Health Collaborative, led an interactive discussion about how data sharing can make or break MACRA implementation.

MACRA conference slides

A Conversation with CMS: How Will MACRA Improve Health, Health Care and Costs, and Why is Local Collaboration an Imperative? Mai Pham, MD

What Is the Opportunity Facing Us, and How Will We Respond? Elizabeth Mitchell

MACRA conference photos