In late October, the Alliance responded to a Request for Information (RFI) on actions that Congress should take to stabilize the Medicare payment system while ensuring successful value-based care incentives are in place. The RFI was issued by a bipartisan group of Congressional leaders asking for feedback on the effectiveness of the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015, which repealed the sustainable growth rate (SGR) formula and expanded the role of value-based payments under Medicare, as well as recommendations on regulatory and statutory solutions to improve provider participation in value-based programs and models.

The Alliance’s response focused on actions to improve Medicare physician payment updates, such as incorporating an inflationary index in the Medicare conversion factor to reflect rising practice costs and exempting certain costs from budget neutrality requirements.  The Alliance also requested that Congress evaluate the impact of the Quality Payment Program (QPP) and Physician-Focused Payment Model Technical Advisory Committee (PTAC) on healthcare quality and value, as well as access to care — particularly as it relates to specialty care.  Finally, the Alliance outlined numerous technical improvements to strengthen meaningful specialist participation in the Merit-Based Incentive Payment System (MIPS) and alternative payment models (APMs).  The letter can be accessed by clicking the link below.

Alliance Comments on MACRA Reform