Emil Engels, MD, MBA, CPC

Congress has finally repealed the Sustainable Growth Rate (SGR) formula with a law titled the Medicare Access and Chip Reauthorization Act of 2015 (MACRA). In addition to repealing the SGR formula, MACRA continued the Centers for Medicare & Medicaid Services (CMS) shift away from fee-for-service toward paying for quality. Providers can choose to participate through one of two pathways: the Merit-Based Incentive Payment System (MIPS) or Advanced Alternative Payment