MACRA Updates



Signed into law in April 2015, the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) replaced the badly broken sustainable growth rate (SGR) reimbursement formula with new "value-based" payment systems that have been developed by the Centers for Medicare and Medicaid Services (CMS) over the course of 2016.

MACRA establishes two different payment tracks that physicians may choose. The first track combines the current fee-for-service payment program and several existing CMS reporting programs (PQRS, Value-Based Modifier, and Meaningful Use) into a single, streamlined new program called the Merit-Based Incentive Program (MIPS). The second track, Alternative Payment Models (APM), is intended to allow physicians to design and develop their own models and submit them to CMS for approval.


Free MACRA Assistance Program for Solano/Napa Physicians


NCMS/SCMS and Medical Insurance Exchange of California (MIEC), the doctor-owned professional liability insurance carrier sponsored by the medical societies, have teamed up with nationally recognized subject-matter experts to develop a free program to help physicians maximize reimbursement under MACRA.


  • Recorded 3-Hour Orientation Seminar: Deep-dive session for physicians, practice managers, and billers to begin developing a plan to earn incentives and maximize reimbursement.

  • On-demand Webinars on Creating a MIPS Success Roadmap:

  • Quality Measures 

  • Clinical Practice Improvement Areas 

  • Advancing Care Information 

  • Resource Use or Cost 

  • Security Risk Analysis

  • MIPS Navigator Online Measure Selection Tool: Free license for online tool that help you create a customized MIPS plan for your practice.


Enroll in the free MACRA Assistance Program by calling 707-255-3622, or completing this form.