Medicare Access & Children's Health Insurance Program (CHIP) Reauthorization Act of 2015  

MACRA passed Congress with strong bipartisan majorities in April 2015. Among MACRA’s notable provisions is the permanent repeal of the Sustainable Growth Rate (SGR), the widely-acknowledged flawed formula used for calculating updates to the Medicare physician fee schedule. In place of SGR, MACRA establishes two paths for determining future Medicare payment for physician services – 1) the Merit-Based Incentive Payment System (MIPS), and, 2) alternative payment models (APMs).