{"id":292,"date":"2017-07-20T00:00:00","date_gmt":"2017-07-20T00:00:00","guid":{"rendered":"https:\/\/eccovia.com\/index.php\/2017\/07\/20\/4-big-reasons-macra-matters-medicaid-value-based-care\/"},"modified":"2024-03-14T17:18:36","modified_gmt":"2024-03-14T17:18:36","slug":"4-big-reasons-macra-matters-medicaid-value-based-care","status":"publish","type":"post","link":"https:\/\/eccovia.com\/blog\/4-big-reasons-macra-matters-medicaid-value-based-care\/","title":{"rendered":"4 Big Reasons MACRA Matters to Medicaid and Value Based Care"},"content":{"rendered":"
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With the media focusing on the divisive healthcare debates in Congress, it is important to remember the areas of the debate that garner unanimous bipartisan support. One such area was the Medicare Access and CHIP Reauthorization Act of 2015 bill (MACRA), which passed in the Senate 92 to 8 and in the House of Representatives 392 to 37. Additionally, the Trump administration has indicated that they will continue the trends promoted by the MACRA bill to transition Medicaid and Medicare to value-based care.<\/p>\n

Efforts to control Medicaid and Medicare spending resulted from the Balanced Budget Act of 1997 that sought to keep growth in spending below the GDP growth rate. The Sustainable Growth Rate (SGR) models they created were quickly deemed unsustainable, and spending per beneficiary increased significantly faster than GDP. Congress began in 2003 to make a regular \u201cdoc fix\u201d to mitigate the effect of the SGR. Instead of addressing the SGR directly, Congress simply repeated their \u201cdoc fix\u201d efforts 17 times through 2014 before finally beginning work on MACRA.<\/p>\n

While MACRA is primarily concerned with Medicare, it has significant overlap with ongoing efforts to promote value-based care for Medicaid as well. Areas affected by the MACRA bill that have overlap with Medicaid include:<\/p>\n