Skip to main content


Kareo Help Center


Updated: 10/21/2019
Views: 1641

MACRA stands for Medicare Access and CHIP Reauthorization Act and outlines the Quality Payment Program (QPP) that came into effect on January 1, 2017.  MACRA signals a major shift in the US healthcare industry towards a value-based payment system. MACRA also replaces and consolidates previous incentive programs like PQRS and Meaningful Use under the new MACRA umbrella for Medicare providers.

MACRA has two tracks, Alternative Payment Models (APMs) and Merit-based Incentive Payment System (MIPS).

Quality ACOs
Promoting Interoperability Specialty Specific Programs
Improvement Activities State Specific Programs
Cost Multiple APM types

Eligible clinicians under MACRA will see Medicare payment adjustments ranging from -4% to +4% for the 2017 reporting year, -5% to +5% for the 2018 reporting year, -7% to +7% for the 2019 reporting year, and adjustments increase year-over-year. To find more information click on MACRA Eligibility.


  • Was this article helpful?