MACRA Resource Center

  • What Is MACRA?

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    Congress passed the Medicare Access and CHIP Reauthorization Act (MACRA) on April 16, 2015. The bipartisan law repealed the Sustainable Growth Rate (SGR) formula used to determine Medicare physician fee-for-service payments. Physician and congressional leaders say organized medicine’s united voice was instrumental in eliminating the flawed SGR formula, a payment design enacted in 1997 to sustain Medicare with lower costs — but instead threatened physicians with unsustainable payment cuts every year since 2003.

    In SGR's place, MACRA requires physicians to choose between two major payment paths: the fee-for-service Merit-Based Incentive Payment System (MIPS), and eligible alternative payment models (APMs)

    The first performance period for MIPS and APMs began on Jan 1, 2017. Under MACRA, physicians’ 2017 performance on various quality, cost, technology use, and practice improvement measures will determine cuts, bonuses, or neither in their 2019 Medicare payments.

    Read the MACRA Bill  
  • Check Your MIPS Eligibilty

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    In late April, the Centers for Medicare & Medicaid Services (CMS) began sending letters to inform physicians and other eligible clinicians about their Merit-Based Incentive Payment System participation status for the 2017 performance period. In May, CMS added a national provider identifier (NPI)-level lookup tool to its Quality Payment Program website. The letters and lookup tool inform individual and group practices about which clinicians associated with a taxpayer identification number (TIN) are eligible for the program and which are exempt. To find out about your status, refer to your letter or access the lookup tool.

    MIPS Lookup Tool  
  • MACRA: Easing the Pain?


    Medicare's final rule acquiesces to medicine's call for more flexibility for small practices in the first year but moves full speed ahead with the transition to value-based payment.

    Get the Details  
  • Five-Step Checklist for MACRA Readiness

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    Here are some steps TMA recommends you take now to prepare your practice. 

    1. Learn about the new Quality Payment Program and select the path best suited for your practice. 
    2. Assess your performance under Medicare's current quality programs.
    3. Review and select quality measures and reporting mechanism.
    4. Contact your EHR vendor, and review and select Advancing Care Information (ACI) measures.
    5. Review and select practice improvement activities and reporting mechanism.


    This checklist is based on the final rule.

    Steps You Can Take Now
    (Members Only)
  • MACRA 101: Quality Payment Program

    Don’t know where to start? Learn about the new Quality Payment Program using TMA, American Medical Association, and CMS resources and tools. 

    Texas Medical Association

    Alphabet Soup: A MACRA Glossary and Acronym Guide 

    American Medical Association

    Understanding Medicare Payment Reform (MACRA)

    Centers for Medicare & Medicaid Services

    Quality Payment Program: Merit-based Incentive Payment System and Alternative Payment Models

    Quality Measures, Advancing Care Information Measures, and Improvement Activities

    Quality Payment Program Education & Tools

    Physician-Focused Payment Model Technical Advisory Committee (PTAC)

    CMS MACRA Webinars

  • TMA MACRA CME Opportunities

    Learn about MACRA and earn continuing medical education (CME) credits with quality TMA-developed education programs. The following CME opportunities are available to TMA members and their staff either at no cost or at special discounted rates.   

    TMA Education Center On-Demand Webinar:

    TMA Seminar: MACRA and Medicare — Get Clarity and Direction! (recorded Nov. 2016)

    MACRA Penalties: Neutralize Them With New Revenue (recorded Sept. 2016)


    TexMed 2017 CME Tracks:

    Quality Payment Programs in Today’s Practice - Day 1, Fri., May 05  Free CME

    Quality Payment Programs in Today’s Practice - Day 2, Sat., May 06  Free CME

  • Get MACRA-Ready With TMA Services

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    Improve the business side of your practice and be MACRA-ready.

    TMA Practice Consulting offers quality improvement services to help prepare physician practices for the upcoming transition under MACRA. TMA's practice management consultants can conduct a MACRA readiness assessment of your practice and provide customized on-site assistance to help you with your practice's specific needs. The assessment will focus on clinical processes, electronic health record optimization, and workflow improvement opportunities to help increase your MIPS scoring. To learn more, email, or call (800) 523-8776. 

    TMA PracticeEdge provides Texas physicians the technology and expertise to take advantage of new health care payment models. Working with strategic partners, TMA PracticeEdge offers physicians a unique toolkit of ACO services backed by the trusted TMA brand. To learn more, email, or call (888) 900-0334.

    Get TMA Practice Help
  • TMA MACRA News and Advocacy

    To help keep you up to date with the latest MACRA news and advocacy, TMA will regularly post relevant information on this resource center. 

    MIPS Exempt? Check Online Action, May 15, 2017

    Are You MIPS Exempt? Word Coming Soon Action, May 1, 2017

    Avoid the 2019 MACRA Penalty With Minimal Reporting TMA Practice E-Tips, April 27, 2017 

    How to Submit the Bare Minimum to Avoid 2019 MIPS Penalty Action, April 3, 2017

    Feds Award $100 Million in MACRA Help to Small, Rural Practices Action, March 1, 2017

    MACRA: Propose Your Own Physician-Focused Payment Model Action, Feb. 15, 2017

    Confused About Quality Reporting? Get Help From TMF and TMA Action, Feb. 15, 2017

    MACRA: Review Your Options for Medicare's New Quality Payment Program Action, Jan. 17, 2017

    MACRA: Easing the Pain? Texas Medicine, Jan. 2017

    TMA Wins MACRA Improvements, Wants More  Action, Dec. 15, 2016 

    Read More About MACRA

  • MACRA Help From the Feds

    Explore the list of federally funded initiatives to help you transition to MIPS or APMs. All services are available to physicians and group practices at no or low cost.

    Quality Payment Program – Small, Underserved, & Rural Support

    TMF Quality Payment Program Network

    Transforming Clinical Practice Initiative

    Health Care Payment Learning and Action Network

    The Innovation Center’s Learning Systems

  • TMA MACRA-Related Resources 

    TMA reminds you that MIPS will combine parts of the PQRS, VM, and MU programs. If you are new to Medicare’s quality programs or want to know about the latest program requirements, visit TMA’s resource centers to learn more.

    TMA Advancing Care Information (ACI) Resource Center

    TMA EHR Adoption Resources

    TMA Meaningful Use Resource Center 

    TMA PQRS and VM Resource Center 

    ACO Requirements


    TMA is helping to strengthen your practice by offering personal advice and creating a climate of medical success across the state. 

  • What could a TMA membership mean for you, your practice, and your patients?