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The Medicare Access and CHIP Reauthorization Act (MACRA) is transitioning physician payments. 2018 introduces new reporting requirements for neurointerventional physicians under this evolving payment policy.

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Area of Science:

  • Health Policy
  • Medical Economics
  • Interventional Neurology

Background:

  • The Medicare and CHIP Reauthorization Act of 2015 (MACRA) governs physician payment policy.
  • 2017 marked the initial year for performance reporting impacting physician payments.
  • CMS views 2017-2018 as transitional phases before full MACRA implementation in 2019.

Purpose of the Study:

  • To analyze the implications of the evolving MACRA framework on neurointerventional physicians.
  • To examine the "MACRA 2.5" phase, characterized by increased reporting and new elements in 2018.
  • To consider stakeholder feedback influencing MACRA's development.

Main Methods:

  • Review of the Medicare and CHIP Reauthorization Act of 2015 and subsequent CMS guidance.
  • Analysis of reporting requirements for 2017 and 2018, highlighting changes and new components.
  • Exploration of potential impacts based on the transitional nature of the policy.

Main Results:

  • 2018 escalates reporting demands compared to 2017, signifying a gradual phase-in.
  • Key changes and novel elements are introduced in the 2018 MACRA framework.
  • Stakeholder input has influenced proposed modifications, including reporting scope.

Conclusions:

  • Neurointerventional physicians face evolving performance reporting obligations under MACRA.
  • The "MACRA 2.5" designation reflects the transitional and adaptive nature of the payment policy.
  • Understanding these changes is crucial for navigating future physician payment adjustments.