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Medicare Access and CHIP Reauthorization Act

Summary of the legislation

MACRA was enacted in 2015 to change the way the U.S. government evaluates and reimburses for healthcare.

Impact of the policy or regulation you selected on system implementation.

  • To provide a framework that reimburses clinicians based on the quality of services rendered as opposed to the number of patients examined.
  • Replaces the flawed Sustainable Growth Rate method.
  • To streamline how healthcare providers are recompensed through Medicare.

Impact of the MACRA policy on clinical care, patient/provider interactions and workflow

 

  • Enhanced interoperability of care

 

  • Augments patient outcomes through enhanced quality care.
  • Takes the burden off the shoulders of medics, patients and taxpayers
  • Facilitates effective reporting channels.

Organizational policies and procedures that are/will be in place at our healthcare organization to address MACRA policy.

  • To pursue compliance with the MACRA ACT, healthcare institutions need to review their Quality Resource Use Report (QRUR)
  • Healthcare facilities should identify areas where changes or improvements are needed to capture the impact of the care they dispense to their clients.
  • Formal processes should be introduced to capture effective reporting on the impact of treatment.
  • Health facilities may also be required to engage a certified vendor to collect survey data in pursuit of compliance with the ACT.
  • Service providers should be involved in activities that enhance clinical practice through the use of Electronic health records (EHR)
  • Healthcare institutions, should undertake appropriate training of physicians, medical assistants, nurse practitioners, clinical nurse specialists, and nurse anesthetists in a bid to impact the quality outcome.

 

Medicare Access and CHIP Reauthorization Act

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References

Eastman, P. (2017). CMS Proposes Rule on Implementing Quality Payment Program Under  MACRA.

Lin, E., MaCurdy, T., & Bhattacharya, J. (2017). The Medicare Access and CHIP reauthorization act: Implications for nephrology. Journal of the American Society of Nephrology, 28(9),        2590-2596.

Marron-Stearns, M. (2016). MACRA, MIPS, and Advanced APMs: Time to Prepare. Journal of AHIMA website.

Savas, A., Smith, E., & Hay, B. (2019). EHR quality indicator tracking: A process improvement   pilot project to meet MACRA requirements. The Nurse Practitioner, 44(4), 30-39.

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