Chiropractic's Role in the 21st Century: 
Rewarding Excellence

For years we have heard of how pay for performance and reimbursement based on outcomes will someday arrive. Then in the spring of 2015, the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) was signed into law.

The final rule of the law implements these changes through the unified framework called the “Quality Payment Program,” which includes two paths: The Merit-based Incentive Payment System (MIPS) and Alternative Payment Models (APM). As a result, the MACRA law singlehandedly will move health care in the United States into value-based care delivery.

The value-based model hinges on paying providers based on performance of clinical activities and outcome measures determined to improve the quality of patient-centered care. The consistency of these clinical activities carried out by health care providers will be rewarded.

This whitepaper summarizes the MACRA law and discusses how chiropractic physicians should respond to the new Medicare payment system.


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