January 1, 2017, marks the beginning of a new way of being paid in Medicare. And while the final rule of MACRA was released in October, and many providers and practices are still trying to parse out what it will mean to them.
January 1, 2017, marks the beginning of a new way of being paid in Medicare. The Medicare Access and CHIP Reauthorization Act (MACRA) was 1 of a just a few examples of healthcare policy that has enjoyed overwhelming bipartisan support in recent years. MACRA replaces the controversial and problematic sustainable growth rate formula with a new way to adjust payments to providers.
While 2017 is the start of the law's implementation, it is being viewed as a transition year. Simply participating and submitting quality data prevents providers from receiving a negative payment adjustment.
The final rule of MACRA was released in October, and many providers and practices are still trying to parse out what it will mean to them. See the below infographic for a look at what MACRA means and how payment will be affected.
Varied Access: The Pharmacogenetic Testing Coverage Divide
February 18th 2025On this episode of Managed Care Cast, we speak with the author of a study published in the February 2025 issue of The American Journal of Managed Care® to uncover significant differences in coverage decisions for pharmacogenetic tests across major US health insurers.
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