CMS projects macra payment adjustments for 2025! Maximum Penalty still 9%
In the 2025 Final Rule, CMS is projecting MACRA Payment adjustments at a maximum of 5.4%.
Why would this year be different?
Through 2021, no more than 3% of providers have been penalized under MACRA. CMS published estimates are for over 38% per year in 2023 (the most current year for which they provide metrics). For 2025, CMS predicts that 22.84% will be penalized. For high performers, that puts more money in the pot.
how do you make decisions, without knowing ROI?
It is easy know the Financial impact of every MIPS decision.
Do you sometimes have MIPS ideas that you have a hard time "selling" to your executives and physicians?
Just imagine how influential you could be with the financial impact of each decision and each recommendation available real-time!
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?
We validate CMS results at three key points in their annual process, and give you action items based on each result.
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.
Monthly MACRA Program Components
- Concierge Service
- Powerful MACRA Dashboarding
- CMS Data Reconciliation
- ACO Peer Management (ACO Model only)
- CQM Registry (Optional)