Latest Response to MACRA Legislation

The following post was contributed by Geraldine McGinty, MD, MBA, FACR.

Wondering what’s the latest on the American College of Radiology’s (ACR) efforts to respond to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) legislation?


I’m happy to report that our multi-commission team is firing on all cylinders to ensure that we provide policy makers with a robust set of recommendations for how radiologists can be maximally engaged in the transition to value based payments. For example, technical and subspecialty content experts are currently reviewing Medicare’s “episode grouper” logic, identifying which services should be included in episodes of care.

Recognizing that Centers for Medicare & Medicaid Services (CMS) is receiving vast amounts of feedback from across the health care delivery system, we are also crystallizing our recommendations into a short document to ensure that CMS understands where we see radiologists succeeding and advancing the goals of MACRA and, perhaps even more importantly, which measures or components of the Merit-Based Incentive Payment System (MIPS) program need to be adjusted specifically for radiology. A good example of this is the “resource use” component that typically measures physicians on the cost of the care for which they are responsible. This simply doesn’t work for radiologists.

While we are developing models around clinical decision support (CDS) that may well be able to align radiologists with the degree to which they can influence imaging utilization, these may not be ready to go immediately especially since CMS has delayed implementation of the Protecting Access to Medicare Act of 2014 (PAMA) legislation that mandates the use of CDS.

We want our entire radiology community to be part of this effort, so please leave your comments below if you have questions or ideas.

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