MACRA - Changing How Medicare Pays Providers

1.0 CME Credit

1.0 CE Credit

ABQAURP sub-specialty credits: Patient Safety/Risk Management 1.0, Physician Advisor 1.0, Managed Care 1.0

The Medicare Access and Chip Reauthorization Act of 2015 (MACRA) is federal legislation enacted by the United State Congress and signed into law by President Obama on April 16, 2015, intended to contain healthcare costs and to focus Medicare spending on the quality of services beneficiaries receive rather than the quantity of those services. MACRA repeals previous Medicare physician payment formulas, modifies and combines quality and information technology programs, and reauthorizes the 1997 State Children’s Health Insurance Program (CHIP). MACRA is separate and distinct from the Patient Protection and Affordable Care Act that Congress passed in 2010.

MACRA, and its creation of the Quality Payment Program (QPP), fundamentally changes the way that physicians and other health care providers are reimbursed under Medicare Part B. QPP encourages providers to focus on the quality and cost of the services they provide. Placing annual reimbursement increases at risk, if those providers do not meet strict quality and cost metrics or participate in federal alternative payment models, will encourage participation.

At the conclusion of the activity, attendees will be able to:
  • Compare how Medicare reimburses physicians before and after MACRA
  • Discuss how Medicare intends to emphasize quality and cost in physician reimbursement through MACRA
  • Identify strategies to maximize physician reimbursement under MACRA
This course is intended for Physicians of all specialties, Nurses, and Other Health Care Professionals with appropriate CME credit and nursing contact hours offered for each profession.

The American Board of Quality Assurance and Utilization Review Physicians, Inc. (ABQAURP) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

ABQAURP designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

ABQAURP is an approved provider of continuing education for nurses. This activity is designated for 1.0 contact hour through the Florida Board of Nursing, Provider # 50-94.

This program is approved for Category 2 credit by the American Osteopathic Association.

All participants must achieve a final assessment score of at least seventy percent (70%) for recertification and continuing education credits. You have 60 days to complete the course after ordering. Please note: Exam candidates taking the Core Body of Knowledge and Diplomates renewing their certification may have less time to complete, as determined by deadlines imposed.

This activity is valid from August 15, 2017 through March 15, 2020.

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This course has been selected by ABQAURP as a "CE Spotlight" course. CE Spotlight courses are complimentary as a Membership benefit with ABQAURP!

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COURSE FEES: Diplomate 0      Member 0      Non-Member $42.00


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About The Authors
Members of the CME Committee, Planners, and Faculty have disclosed to ABQAURP any relevant financial relationships. No relevant financial relationships or conflicts of interest exist in regard to the content of this online activity.

Christopher J. Laney, JD, CHCQM
Christopher J. Laney, JD, CHCQM is Assistant General Counsel for Blue Cross Blue Shield of Michigan (BCBSM) and a member of the Government Programs practice group where he primarily supports BCBSM’s Medicare Advantage and Part D drug plan lines of business. Previously, he was Corporate Counsel for Baptist Health in Louisville, Kentucky, a full-spectrum health system where he advised the Population Health Department on the development of an ACO and participation in the Medicare Shared Savings Program, the development and implementation of a statewide clinical integration program, and other value based purchasing initiatives.

Mr. Laney earned a Bachelor of Arts from Michigan State University, is a cum laude graduate of Wayne State University Law School in Detroit where he served on the Law Review, and holds a Graduate Certificate in the Foundations of Public Health from the University of Michigan’s School of Public Health. Mr. Laney serves on the ABQAURP board of directors as well as the CME and Exam Committees.


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