The Nuts and Bolts of MACRA, MIPS and APMs: What a Provider Needs to Know

The Nuts and Bolts of MACRA, MIPS and APMs: What a Provider Needs to Know

Activity Description

The passage of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) brings new reimbursement models for Medicare payments. These learning modules will help create a solid foundation of MACRA, Merit-based Incentive Payment System (MIPS), Advanced Alternative Payment Models (APMs), ACOs and other concepts, important for building sustainable healthcare operations in the future. It is important for providers to understand MACRA and where their practices fall into the new reimbursement structure. Especially since the performance period for 2019 payments begins January 1, 2017.

Providers will need to understand MACRA and whether they are under MIPS or APMs and how MIPS and APMs are different. Practice patterns and business operations will need to be modified to be successful in 2019 and beyond. Providers with a thorough knowledge of MACRA will be able to perform more effectively in their practices when reimbursement changes occur in 2019. The following modules will give providers insight into which path to take regarding, MIPS, APMs and ACOs.

Target Audience

This activity is intended for primary care providers and practice managers.

Learning Objectives

At the end of this activity, the learner should be better able to:

  1. Identify how we, as a medical community, arrived at the MACRA legislation
  2. Define why they should care about MACRA, MIPS, and APMs
  3. List the four components that make up MIPS
  4. State the programs that are considered to be APMs
  5. Identify the importance of enacting change today
  6. State the ways in which an ACO will prepare one for both MIPS and APMs

Term of Approval

Release Date:  January 9, 2017
Expiration Date:  December 31, 2017

Faculty

John Findley, MD — Chief Medical Officer, Beatrice Community Hospital and Health Center

Michael Hein, MD, MS, MHCM, FACP — President and CEO, ENHANCE Health Network

Michael Romano, MD, MHA — Chief Medical Officer, Nebraska Health Network

Credit

The University of Nebraska Medical Center, Center for Continuing Education is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. 

The University of Nebraska Medical Center, Center for Continuing Education designates this enduring material for a maximum of 2.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

All six modules must be completed to receive AMA PRA Category 1 Credit™. No partial credit will be awarded.

Disclosure Declaration

It is the policy of the University of Nebraska Medical Center, Center for Continuing Education to ensure balance, independence, objectivity, and scientific rigor in all its sponsored educational activities. All faculty, activity planners, and staff involved in the development of this activity have disclosed any significant financial interest or other relationship with manufacturer(s) of any commercial product(s)/device(s) and/or provider(s) of commercial services included in this educational activity. A commercial interest is any entity producing, marketing, reselling, or distributing health care goods or services consumed by, or used on, patients. The intent of this disclosure is not to prevent a faculty or staff member with a relevant financial or other relationship from participating in the activity, but rather to provide participants with information on which they can base their own judgments. The University of Nebraska Medical Center, Center for Continuing Education has identified and resolved any and all faculty conflicts of interest prior to the release of this activity.

The following indicates the disclosure declaration information and the nature of those commercial relationships.

The members of the planning committee do not have any financial conflicts or relationships to disclose.

Disclaimer

The University of Nebraska Medical Center, Center for Continuing Education, presents this information for educational purposes only. The content is provided solely by faculty who have been selected because of recognized expertise in their field. Participants have the professional responsibility to ensure that products are prescribed and used appropriately on the basis of their own clinical judgment and accepted standards of care. The University of Nebraska Medical Center, Center for Continuing Education assumes no liability for the information herein.

The Compass Practice Transformation Network is supported by Funding Opportunity Number CMS- 1L1-15-003 from the U.S. Department of Health and Human Services, Centers for Medicare &  Medicaid Services. The contents of this publication are solely the responsibility of the authors and do not necessarily represent the views of the U.S. Department of Health and Human Services or any of its agencies.