What you need to know now

It's the future of health care. Find out what it means for you. Value-based payment will bring big changes to practices. Medicare Access and CHIP Reauthorization Act of 2015 (MACRA)

With the passage of the Medicare Access and CHIP Reauthorization Act of 2015, Medicare will change from a volume-based system to a value-based system. MACRA will :

  • Repeal of the flawed SGR rate, eliminating threat of sudden payment cuts
  • Provide for automatic increases in Medicare reimbursements if you are in an Alternative Payment Model (APM)
  • Create a new Merit-Based Incentive Payment System (MIPS) which consolidates several existing Medicare incentive programs (penalties apply if goals not met)
  • Provide incentives for physicians to participate in alternative payment models such as Accountable Care Organizations (ACO) and Patient-Centered Medical Homes (PCMH)

Latest news

SIR provides MACRA guidance in new brochure

Download a PDF of SIR's new resource to help guide you through the MACRA maze.

CMS offers flexibility in MACRA participation

Recently, in response to comments from numerous medical societies, including SIR, acting CMS Administrator Andrew Slavitt, announced a major update to the rollout of CMS’ new Quality Payment Program under the Medicare Access and CHIP Reauthorization Act (MACRA). Learn more about CMS’ new “pick your pace” reporting plan for 2017 on SIR Connect.

Frequently asked questions

The list of frequently asked questions has been updatedto provide members with the most beneficial information available on the MACRA transition.

SIR has also prepared a list of frequently asked questions about participation in structured reporting, available for download now.

Important member communication from SIR President
Charles E. Ray Jr, MD, FSIR

As SIR outlined in May, MACRA, the Medicare Access and CHIP Reauthorization Act, has replaced the sustainable growth rate (SGR) creating a payment system emphasizing value over volume, radically redefining how physicians are paid and the course Medicare is charting for American health care. It is critical to engage your practice in meeting the quality opportunity today. Read more.

Hear why MACRA matters

SIR fellow in training, Dr. Paul Rotolo, recently spent two days in Washington, DC, attending the government affairs' Grassroots Leadership Program on Capitol Hill. Here's his take on advocacy and why it's important during the advent of this new payment model.

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SIR: Taking the lead on MACRA readiness


A new blog post: 'Everything you need to know about MACRA implementation (but were afraid to ask),' by Katharine Krol, MD, FSIR, discusses the basics of MACRA, which mandates that Medicare payments be based on quality. Dr. Krol notes that because the final rule will determine exactly how interventional radiologists will be paid and measured starting as soon as next year, SIR is already working on feedback to the proposed rule to ensure the rule treats interventional radiology fairly and correctly. CMS is accepting comments on the rule until June 27. [Read the blog post.]

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SIR in action

Webinar: Medicare payment reform is coming. Are you ready?

Join SIR on Oct. 12 at 8 p.m. ET as we breakdown the proposed CMS payment reforms. Our live, free, 90-minute webinar, “Positioning your IR practice for success under MACRA,” will give you:

  • An in-depth explanation of MACRA’s implementation rules, along with critical milestones, presented by Katharine L. Krol, MD, FSIR
  • An assessment of the financial impacts, risks and rewards, presented by Raymond W. Liu, MD
  • Tips for succeeding under this new payment paradigm, presented by Jeremy D. Collins, MD
Register today!

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MACRA timeline

View the CMS timeline here

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CMS Resources

On demand webinar available “MIPS: Advancing Care Information Overview”:
Watch now

CMS National Provider Calls

Listen in as CMS subject matter experts present up to date information on the Medicare Access and CHIP Reauthorization Act (MACRA) Quality Payment Programs. Learn more at the MLN Connects National Provider Calls and Events webpage.

Learn more about the Medicare Access and CHIP Reauthorization Act of 2015.

CMS explains the Quality Payment Program.

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