How to Achieve Success Through MACRA

How to Achieve Success Through MACRA

Be Prepared for MACRA’s Quality Payment Program Through Proactive Measures

“Keep Calm, It’s Only MACRA.” – Amy Nguyen Howell, MD, MBA, FAAFP, CAPG’s Chief Medical Officer

In preparation for MIPS in the upcoming transition 2017 transition year, CAPG healthcare expert Amy Nguyen Howell outlined four key ways in which eligible clinicians can achieve ongoing success under MIPS and move seamlessly towards the Advanced Alternative Payment Model (APM) track.

1. Submit Data Early

Eligible clinicians can take a proactive step by submitting data on at least one quality measure before March 31, 2018. These measures fall within the categories of Quality Performance, Improvement Activity and Advancing Care Information. By submitting data early, those clinicians can avoid the -4% Medicare payment adjustment in 2019.

2. Identify Common Quality Measures

Nguyen Howell recommends eligible clinicians to review the quality measures from their payer mix and see which measures are the most common and which align together. Choosing measures from their payer mix that qualify for MIPS can help providers earn more value-based incentive payments.

3. Report on Top-Scoring Measures

Another key strategy for clinicians is to choose to report on quality measures that they excel at. It is important to select the highest scoring quality measures and start off strong, as the program really rewards the winners.

By understanding how well they are performing, clinicians can easily move onto the APM track and start focusing on patient population health management programs.

4. Understand Your Patient and Provider Populations

Nguyen Howell posed a thought provoking question for clinicians after they start to get a better understanding of their patient population: “How well are you treating this population based on your quality measures?”

Understanding your patient and provider populations is key in implementing APMs. Evaluate if providers are providing the right level of care that matches what they are being paid.


Remember that not all APMS are the same under the Quality Payment Program. Only risk-bearing providers in specific APMs are eligible to quality for the 5% value based incentive payment in 2019, which is based on their performance in 2017.

Read the original article from RevCycleIntelligence here.