MACRA 2.5: The legislation moves forward

Lauren Parks Golding, Gregory N. Nicola, Sameer A. Ansari, Andrew B. Rosenkrantz, Ezequiel Silva Iii, Laxmaiah Manchikanti, Joshua A. Hirsch*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

6 Scopus citations


The Medicare and CHIP Reauthorization Act of 2015 remains the payment policy law of the land. 2017 was the first year in which performance reporting will tangibly impact future physician payments. The Centers for Medicare & Medicaid Services (CMS) considers 2017 and 2018 transitional years before full implementation in 2019. As such, 2018 increases the reporting requirements over 2017 in the form of a gradual phasein while introducing several key changes and new elements. Indeed, it is the nature of the transition itself that led to the somewhat unique title of this manuscript, i.e., MACRA 2.5. Stakeholder feedback to the CMS regarding the program has ranged widely from the elimination of core components to expanding reporting to non-government payers. This article explores the potential impact on neurointerventional physicians.

Original languageEnglish (US)
Pages (from-to)1224-1228
Number of pages5
JournalJournal of neurointerventional surgery
Issue number12
StatePublished - Dec 1 2018

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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