Medicare access and chip reauthorization act of 2015 is the name given to the po
ID: 372744 • Letter: M
Question
Medicare access and chip reauthorization act of 2015 is the name given to the policy changes and reforms shown under the sustainable growth rate reform act to law .The new law makes important changes in the value based payment modes for the physicians.
1.CHIP- Children's health insurance plan has been extended for the next two years.
2.Meritbased incentive payment system has been introduced for the physicians based on their performance within the fee for service system.
3.Macra creates four categories under which MIPS Score is calculated.They are
Quality
Resource use.
Clinical improvement
EHR use.
4.The potential payment adjustments based on performance grows every year from 4% to 12%.
5.Alternative payment models are also provided through macra.Providers qualifying for apm will receive a 5% annual bonus on pfs system.
6.Macra cuts Medicare payments to hospitals and post acute service providers to cut down the cost or payments.
7.Single seniors and couples whose incomes are above the mentioned limit has to pay a higher percentage for Medicare claims.
8.The law extends various rules which are to expire soon.In total the reform act has included various beneficial aspects on the whole.
Explanation / Answer
Per the Pathway for Sustainable Growth Rate (SGR) Reform Act to law, what happens in 2020?