It is worthwhile to understand some of what is being considered to attempt the difficult task of linking reimbursement and quality.
In April 2015, President Obama signed into law the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). MACRA repealed the sustainable growth rate (SGR) methodology, which adjusted spending rates on physician services based upon growth in the gross domestic product to calculate physician Medicare fee schedules and establishes a two-option reimbursement methodology to compensate physicians under Medicare fee for service. That was one of its goals; the second was to implement a “value based” reimbursement under Medicare.
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