CMS projects macra payment adjustments for 2022!
In the 2022 Final Rule, CMS is projecting MACRA Payment adjustments at a maximum of 14.4%. Source: 2022 Final Rule, Page 656
Why would this year be different?
Through 2021, no more than 3% of providers have been penalized under MACRA. But in the 2022 Final Rule - and beyond, CMS predicts that penalties will jump 10-fold. CMS published estimates are for over 35% per year in 2022 and 2023. Since penalties drive available funds, more money flows to high performers.
how do you make decisions, without knowing ROI?
How will CMS Penalize more in 2023?
- Greater challenges - No more bonus points. Tougher thresholds. Fewer measures.
- Fewer exemptions - Pandemic exemptions no longer "automatic".
- Higher thresholds - Performance threshold set at prior year average for the first time.
- No more 3-point floor.
Does your current MIPS provider show your financial expectations? We do - continuously!
MACRA P&L! Our unique financial projections support current year tactics and long-term strategies, all tied to your own MACRA scores, and your own Medicare payments.
Bottom line: a lot more money for top performers.
MACRA Optimization is not a year-end Activity
Optimizing MACRA is a year-long process - If you wait until year-end, you have no chance to improve. And you could easily miss out in other ways.
Our Concierge has a month-by-month roadmap, ready to go.
Submission is really the simplest part of the process.
How will you monitor who has submitted, and their results on your overall scores? If just one or two TINs drop a ball, everyone else suffers.
SOFTWARE + monthly CONCIERGE = macra optimization
You can't optimize MACRA at Year End
Improving MACRA Reimbursement comes from a regular program, throughout the year. We get started as soon as a full month's data is available, and follow a regimen of extract, report, analyze and plan and act for every month thereafter.