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PBGH explains MACRA: MIPS default, APMs offer bigger rewards for risk‑bearing providers

Health Service Board, City and County of San Francisco · November 10, 2016
AI-Generated Content: All content on this page was generated by AI to highlight key points from the meeting. For complete details and context, we recommend watching the full video. so we can fix them.

Summary

The Pacific Business Group on Health summarized MACRA’s Quality Payment Program: the default MIPS track ties modest upside or downside payments to quality, health‑IT and cost measures, while Advanced Alternative Payment Models offer larger incentives for providers who accept downside risk; 2017 was framed as a transition year.

Stephanie Glier of the Pacific Business Group on Health gave the board an overview of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) and the Quality Payment Program it requires.

Glier explained that MACRA replaced the Sustainable Growth Rate and moves Medicare physician payment toward value by tying bonuses and penalties to performance. Providers can participate in…

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