The (SGR) Fix Is In: How MACRA Short-Circuited Incentives For Joining Two-Sided Models

July 21, 2021Garrett SchmittNo CommentsA-APMs, ACOs, Advanced Alternative Payment Models, alternative payment models, APMs, CMS, delivery system reform, delivery systems, healthcare payment, incentives, MACRA, Medicare Access and CHIP Reauthorization Act, MIPS, payment systems, SGR

Over the last ten years, policymakers of both parties have identified health care payment reform as a critical national priority. Payment incentives offered by Medicare and other large payers create the environment in which providers must choose between being rewarded for performing more services and procedures, as in fee-for-service medicine or, for efficiently managing the…

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