Medicare Access and CHIP Reauthorization Act (MACRA)

On April 14, 2015, President Obama signed the Medicare Access and CHIP Reauthorization Act (MACRA). This bipartisan legislation repeals the flawed Sustainable Growth Rate (SGR) Formula and creates a new reimbursement structure for healthcare providers by establishing two payment tracks, rewarding clinicians for value over volume and streamlines other existing quality reporting programs into one new system: Merit-Based Incentive Payments System (MIPS) and Alternative Payment Models (APMs).

What’s the MACRA

The House Energy and Commerce Subcommittee on Health on the implementation of MACRA

As a member of the Alliance of Specialty Medicine, ASE submitted testimony to ensure echo’s voice was heard.


On April 27, 2016,  the Centers for Medicare & Medicaid Services (CMS) released a highly-anticipated proposed rule outlining how the agency envisions implementing the Medicare physician payment reforms enacted as part of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). On October 14th CMA published the finalized rule on the implementation of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). ASE advocacy staff are closely reviewing this proposed rule and will bring additional information to members in the coming weeks. To access the press release, fact sheet and additional material for the final rule please visit here.

CMS has launched a new Quality Payment Program Education & Tools Resource Library website, and has a Quality Payment Program Website, intended to explain the new program and help clinicians easily identify the measures most meaningful to their practice or specialty.


***Plans for the Quality Payment Program in 2017: Pick Your Pace

MACRA for Busy Docs: 12 Things to Know

10 things to know about CMS’ new mandatory cardiac bundle

Quality Initiatives Patient Assessment Instruments

Implementation of the New Medicare Quality Payment Program in 2019: What it will Mean to You in 2017

MACRA, MIPS, APMs and the New Alphabet Soup of Medicare Payment:  What ASE members Need to Know

Health Care Payment Learning and Action Network New Cardiac Care White Paper and More

Recording of HC13 Presentation

Recording of Education Speaker on MACRA/Episodes of Care (HCI3) – Copy of Slide Set

CMS Recorded Webinars:


MIPS: Advancing Care Information Overview


Medicare, MACRA, and MIPS: The Implications of SGR Repeal

The Real World Echo Lab – Putting It Together: A Strategy for Managing Your Lab

The Real World Echo Lab – How to Benchmark Your Labs

“No Conflicts, No Interest” – New Issues Related to Conflict of Interest

Reimbursement 101: What You Must Know