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.
LLMs Show Promise, But Challenges Remain in Improving Inefficient Clinical Trial Screening
July 31st 2025Large language models (LLMs) such as GPT-3.5 and GPT-4 may offer a solution to the costly and inefficient process of manual clinical trial screening, which is often hindered by the inability of structured electronic health record data to capture all necessary criteria.
Read More
Trends in Insulin Out-of-Pocket Costs and Use Disparities, 2008-2021
July 31st 2025Given trends in cost and use, insulin out-of-pocket cost reduction policies would be more efficient if they targeted members in high-deductible health plans with savings options and low-income patients.
Read More
The Legal Architecture of Psychedelic Therapy: Risks, Responsibilities, and Reimbursement Realities
July 30th 2025Key legal, ethical, and compliance considerations for managed care professionals navigating the evolving landscape of psychedelic-assisted therapy include regulatory risks, data privacy challenges, reimbursement limitations, and the need for culturally informed care models.
Read More