MACRA (Medicare Access & CHIP Reauthorization Act)

(Medicare Access & CHIP Reauthorization Act)

In October, The Centers for Medicare & Medicaid Services (CMS) released the final rule for MACRA, altering how Medicare reimburses clinicians and their practices. It emphasizes quality, value, and clinicians taking more financial risk.

TSI Healthcare® is here to help you navigate through the murky waters of federal regulations.

Be sure to check out our other resources:

MACRA Webinar MACRA Blog Series MACRA 101 Quiz

What’s The Big Idea?

With a stronger emphasis on quality, value, and bigger financial risk, there are three key areas MACRA seeks to address.


Repeals SGR

Sustainable Growth Rate


Shifts from Volume to Quality

Shift from fee-for-service
to pay-for-quality


Extends CHIP

Children’s Health
Insurance Program

Quality Payment Program

MACRA’s Quality Payment Program will allow providers to select between two quality payment program.

Download MACRA Infographic Download MIPS Infographic



Merit-Based Incentive Payment System

  • Combines Meaningful Use, PQRS/CQMs & VBM
  • Measures Providers On:
    • Quality
    • Advancing Care Information (Use of EHR)
    • Improvement Activities
    • Cost
  • Financial Implications
    • Can Receive Positive Payment Adjustments Based On MIPS Score
    • Can Earn Up To 5% Max Penalty For Not Meeting 2018 MIPS Requirements

Advanced Alternative Payment Models

  • Must Require Certified EHR Use
  • Must Base Payment On Quality Measures Comparable To MIPS Quality Category
  • Must Bear Financial Risk
  • Financial Implications:
    • Must Bear Financial Risk
    • Can Earn 5% Bonus


MIPS will continue in 2018 as the second performance year with payment adjustments beginning in 2020.

MIPS Program Overview

MIPS combines MU, PQRS, and VBM to measure clinicians in four different categories.
The new quality program structure increases emphasis on PQRS while decreasing it on Meaningful Use.


Quality = 50%

Learn More

MACRA Screen

Advancing Care
Information = 25%

Learn More

MACRA Clipboard

Activities = 15%

Learn More


MACRA Money SIgn

Cost = 10%

Learn More

More Exciting News

MACRA proposes more exciting reporting and data submission options.

Group Reporting


Bonus Points


No Longer All or Nothing


Introducing Quality Program Services

Overwhelmed by MACRA and MIPS? Stress no more!
TSI Healthcare’s revolutionary new approach to federal policy assistance provides you with the next level of
regulatory assistance and client advocacy.

Bi-annual QRUR Reviews

Bi-annual QRUR reviews designed to provide you with an analysis of Medicare costs attributed to your practice.

Workflow Workshops

Workflow “how-to” videos for easy learning on the fly for role-specific and specialty-specific measures.

Guided Assistance

Guided assistance with hands-on regulatory training from a Quality Program Specialist allows you to focus on patient care.

  • "TSI Healthcare has introduced a little bit more ease of use as far as EHR goes, and Meaningful Use especially. They've done a really good job of helping us meet our Meaningful Use goals and getting paid for Meaningful Use."

    Robert Collins, Director of OperationsBoston Laser Eye Institute, P.C.
  • "The biggest challenge that we faced before starting with TSI Healthcare was meeting Meaningful Use. I was a bit concerned about our practice because we had missed one year of Meaningful Use money already. It was one of the driving factors for selecting them as a vendor, and they have helped us achieve that."

    Robert Collins, Director of OperationsBoston Laser Eye Institute, P.C.
  • "TSI Healthcare’s rheumatology specific EHR is very manageable to use, and their reporting system is very flexible. We are on track for meaningful use, and it has allowed us to enjoy a significant increase in revenue. This has let us add to staff and incorporate an ultrasound machine.”

    Dr. Kevin HicksCollaborative Arthritis Care, Inc.
  • "As government regulations continue to evolve, TSI Healthcare remains current regarding the changes and always keeps us informed in a prompt manner."

    Ana Reyes-CartagenaArthritis & Rheumatism Associates, M.D.

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