Congressional Leaders Send Letter to HHS on Successful Implementation of MACRA

On Tuesday, a group of bipartisan congressional leaders from the House Energy & Commerce and Ways & Means committees sent a letter to HHS Secretary Burwell regarding the Medicare Access and CHIP Reauthorization Act (MACRA), which replaced the Sustainable Growth Rate (SGR) formula and created two payment options for health care providers participating in Medicare: Merit-Based Incentive Payment System (MIPS) and the Alternative Payment Model (APM) tracks.


Specifically, the letter notes that Congress intended for MACRA to consolidate and ease burdens for the various quality reporting programs and to incentivize quality and value-based care. To ensure that MACRA delivers on this promise, they urged CMS to consider flexibilities for all practitioners through:

  • Simplified, streamlined, coordinated requirements;
  • Clear pathways to succeed in Merit-Based Incentive Payment System (MIPS) or the Alternative Payment Model (APM) tracks;
  • Opportunities to move to the APM track and flexibilities to be rewarded for meaningful delivery system reform activities in MIPS and in the APMs; and
  • Appropriate systems ready and in place prior to January 2017 reporting.