The Medicare Access and CHIP Reauthorization Act (MACRA) is a landmark legislation that alters how Medicare reimburses physicians. The ultimate goal of MACRA is to navigate away from the traditional fee-for-a-service model, to a quality-based reimbursement model.

The initial rule, proposed in 2015, was met with criticism from much of the medical community for its stringent requirements and hasty preparation period. However, the final ruling, released October 14, 2016, has expanded flexibility and exemptions.

Healthcare is staring down the barrel of the largest changes to the industry since Medicare was introduced by Lyndon B. Johnson in 1965. The recently proposed Medicare Access and CHIP Reauthorization Act (MACRA) has sweeping implications for the way healthcare providers are paid for their services. The ultimate goal of MACRA is to navigate away from the traditional fee-for-a-service model, to a quality-based reimbursement model.

Although MACRA is sure to be an initial headache for clinicians, medical practices need to understand and prepare for the new legislation or suffer significant financial penalties.

Let’s break it down.

• So, what is MACRA? 
• Am I Eligible? If so, what track is right for me? 
• How am I reimbursed? 
• When do I start implementing MACRA? 
• What will MACRA cost me? 
• Who will know my score? 
• What are the actions I can take to prepare?