Portal de Periódicos da CAPES

For Medicare’s New Approach To Physician Payment, Big Questions Remain

2016; Project HOPE; Volume: 35; Issue: 9 Linguagem: Inglês

10.1377/hlthaff.2016.0939

2694-233X

Billy Wynne,

Healthcare Systems and Technology

The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) established a new framework for Medicare physician payment. Designed to stabilize uncertain payment rates for Medicare’s fee-for-service (FFS) system and incentivize physicians to move into new alternative payment systems, MACRA contains several uncertainties of its own. In a textbook illustration of why it’s important to be careful what you wish for, it’s increasingly easy to predict that implementation of MACRA will be delayed as a result of both regulatory and legislative breaches of its statutory timeline. This article traces the contemporary history of the Medicare physician payment system and efforts to implement additional changes.