Portion of practice Medicare revenue at risk at tax ID or individual levels based on performance in these categories:
Measure Category | Year 1 (2019) | Year 2 (2020) | Year 3 (2021) |
Quality ( aka PQRS) | 60% | 45% | 30% |
Cost – Resource Use (aka VM) | 0% | 15% | 30% |
Advancing Care Information (aka MU) | 25% | 25% | 25% |
Improvement Activities (IA – New) | 15% | 15% | 15% |
No downside risk on Part B fee schedule if thresholds are achieved through an ‘Advanced’ APM:
*Thresholds2019 | 2019-2020 | 2021-2022 | 2023+ |
% Payments | 25% | 50% | 75% |
% Patients | 20% | 35% | 50% |
Initial Advanced APMs:
MACRA will have a profound effect on the entire health care continuum. From solo practitioners to large health systems, this overhaul of the Part B payment system has significant implications:
There is a lot to do to prepare for the first performance period which begins January 2017. Here’s how we can help:
With 2,400 pages in the law, 300+ measures, 4 categories and 3 paths, MACRA is daunting. The assessment will help your practice understand the path you’re headed for, revenue projections and recommended steps to take in the coming months.
The assessment combines practice-specific information education session packed with consultative guidance. You’ll leave with clear steps and recommendations. Join us to ensure your organization makes informed, sustainable decisions.
You provide information in advance. We analyze it. We teach you MACRA. We lead you through your MACRA Readiness Assessment. You receive a practice-specific MACRA Workbook packed with what you’ll need to succeed.
Key Deliverables:
Customized MACRA Action Plan for your practice
Practice Specific QRUR (Cost) Analyses
Practice Specific Quality & IA Recommendations
Personalized MACRA Economic Impact Study
Specific AAPM activity in your geography
Unparalleled MACRA education – easy to understand and ready to implement
MACRA toolkit – packed with resources
We are skilled at taking today’s data (QRUR, PQRS, MU) and using it as a guide for creating your customized MACRA roadmap. A MACRA Readiness Assessment provides comprehensive MACRA education, your QRUR analysis, and recommended measures for consideration in reporting in year one of Medicare’s Quality Payment Program. The assessment includes customized, recommended steps for you to take in the coming months. Our goal is to prepare you to be successful under MACRA and maximize your opportunities based on your strengths, capabilities and vision for the future.
For groups, we can facilitate a “MACRA Readiness Workshop” providing a working session designed to assist your members in gaining insights and identify key questions to prepare for success in the Quality Payment Program. We recently facilitated this event at the CIP17 Collaborate conference hosted by the MGMA and AMA.
Here’s what participants had to say:
“They made it so simple and gave us a toolkit that saved us tons of time.”
“The ‘MACRA Readiness Assessment’ is the must have MACRA cliffnotes.”
“Incredible content, thought provoking and great guidance.”
“This was the 5th MACRA presentation I had been to this year, and it was by far the most clear and comprehensive.”