American Osteopathic Association

Advancing the distinctive philosophy and practice of osteopathic medicine

What's the MACRA timeline?

Compare how you'll be paid in the long term for participating in MIPS vs. an advanced APM.


Wondering how much you'll be paid each year if you participate in the Merit-Based Incentive Payment System (MIPS) vs. joining an advanced Alternative Payment Model (APM)? Here's a closer look.

2015: Your 2014 Medicare payment rates applied through June 30. Beginning July 1, you received a 0.5% increase to those rates.

2016 – 2018: Each year, you’ll receive an additional 0.5% payment increase.

2019: If you stay in fee-for-service by participating in any way in MIPS in 2017, you’ll avoid any penalties for poor performance and could qualify for a small or modest payment incentive, depending on your performance and level of data reporting. If you participate in a qualifying advanced alternative payment model (APM), you’ll be eligible for a 5% bonus above the Medicare payments and shared savings for your services.

2020: If you stay in fee-for-service through MIPS, you’ll receive up to a 5% bonus for good performance or up to a 5% cut for poor performance. If you participate in a qualifying advanced alternative payment model (APM), you’ll get a 5% bonus above the Medicare payments and shared savings for your services.

2021: If you stay in fee-for-service through MIPS, you’ll get up to a 7% bonus for good performance or up to a 7% cut for poor performance. If you participate in a qualifying advanced alternative payment model (APM), you’ll get a 5% bonus above the Medicare payments and shared savings for your services.

2022-2025: If you stay in fee-for-service through MIPS, you’ll receive up to a 9% bonus for good performance or up to a 9% cut for poor performance. If you participate in a qualifying advanced alternative payment model (APM), you’ll get a 5% bonus above the Medicare payments and shared savings for your services.

2026: Your payment will differ based on whether you participate in a qualifying advanced alternative payment model (APM) or not. If you do, you’ll receive a .75% update. If you don’t and stay in fee-for-service, your update will be .25%.

 

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