In letters addressed to House and Senate Committees of jurisdiction, the Alliance of Specialty Medicine called for an oversight hearing to examine the implementation of physician-focused value-based care initiatives authorized under the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015.
More than five years ago, physicians hailed the adoption of MACRA, which ended the flawed sustainable growth rate (SGR) payment system, replacing it with a program to align physician payments to value and accelerate physician participation in alternative payment models (APMs). However, over the last five years, troubling implementation policies have severely limited the effectiveness of these physician-focused initiatives. In its letter, the Alliance cites four key areas where MACRA needs to be improved:
Administrative Complexity of MIPS
Policies that Disincentivize Meaningful Specialty Measures
Flawed value assessments
Inconsistent performance measures