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MACRA: background, opportunities and challenges for the neurointerventional specialist
Joshua A Hirsch1, Thabele M Leslie-Mazwi1, Aman B Patel1
1NeuroEndovascular Program, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Journal of Neurointerventional Surgery
|July 30, 2015
Summary
The Medicare Access and CHIP Reauthorization Act of 2015 repealed the sustainable growth rate formula, a significant legislative change. This act also introduced provisions of interest to neurointerventional specialists.
Area of Science:
- Healthcare Policy
- Medical Legislation
Background:
- The sustainable growth rate (SGR) formula created payment uncertainty for physicians under Medicare.
- The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) was enacted to address these payment issues.
Purpose of the Study:
- To provide an overview of the Medicare Access and CHIP Reauthorization Act of 2015.
- To highlight key provisions relevant to neurointerventional specialists.
Main Methods:
- Analysis of the legislative text of the Medicare Access and CHIP Reauthorization Act of 2015.
- Review of the implications of the Act's provisions for healthcare providers.
Main Results:
- The Act permanently repealed the sustainable growth rate formula.
- Key elements within the Act are of significant interest to neurointerventional specialists.
Conclusions:
- The repeal of the SGR formula provides payment stability for physicians.
- MACRA introduces important changes impacting neurointerventional practice and policy.

