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Traditional Payment Models in Radiology: Historical Context for Ongoing Reform |
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| Affiliation: | 1. South Texas Radiology Group, San Antonio, Texas;2. University of Texas Health Science Center at San Antonio, San Antonio, Texas;3. Weill Cornell Medicine, New York, New York;4. Harvey L. Neiman Health Policy Institute, Reston, Virginia;5. George Mason University, Fairfax, Virginia;6. Emory University School of Medicine, Atlanta, Georgia;1. Department of Radiology, Neuroradiology Division, Stanford University, Stanford, California;2. American College of Radiology, Reston, Virginia;3. Albert Einstein College of Medicine and Department of Radiology, Neuroradiology Division, Montefiore Medical Center, New York, New York;4. Department of Radiology, Weill Cornell Medicine, New York, New York;5. Medical Education Division, American College of Physicians, Philadelphia, Pennsylvania;6. American College of Physicians, Philadelphia, Pennsylvania |
| Abstract: | The passage of the Medicare Access and CHIP Reauthorization Act (MACRA) replaces the sustainable growth rate with a payment system based on quality and alternative payment model participation. The general structure of payment under MACRA is included in the statute, but the rules and regulations defining its implementation are yet to be formalized. It is imperative that the radiology profession inform policymakers on their role in health care under MACRA. This will require a detailed understanding of prior legislative and nonlegislative actions that helped shape MACRA. To that end, the authors provide a detailed historical context for payment reform, focusing on the payment quality initiatives and alternative payment model demonstrations that helped provide the foundation of future MACRA-driven payment reform. |
| Keywords: | Affordable Care Act (ACA) Merit-Based Incentive Payment System (MIPS) alternative payment models Medicare Access and CHIP Reauthorization Act (MACRA) Physician Quality Reporting System (PQRS) |
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