MACRA Affects MACs Effective Immediately
The Medicare Access and CHIP Reauthorization Act (MACRA), enacted on April 16, 2015, extended Medicare administrative contractor (MAC) contract terms from five to 10 years. The legislation also requires the Centers for Medicare & Medicaid Services (CMS) to publish performance information on each MAC, to the extent that such information does not interfere with contract procurements.
CMS is using the following strategy to implement this legislation:
- CMS published MAC performance information on its website in the summer of 2015. You can see the results on the CMS website.
- CMS conducted market research to gather industry feedback on performance information and various contract issues, including contract length and performance incentives.
- On Aug. 5, 2016, CMS published a Request for Information (RFI) to provide industry with a draft Request for Proposal (RFP) for use in future MAC procurements.
Future MAC Procurements
CMS plans to execute the next round of MAC procurements based on a “first-in, first-out” timeline.
Read the full text of the MACRA legislation at Public Law No: 114-10.