It’s difficult to overstate the significance of CMS’s mission. The agency’s actions affect millions of people, allocate over one trillion dollars and ultimately do much to influence America’s health. When I took on the position of Administrator, I was often advised to choose one or two areas of focus. Don’t take on too much, or you might not get anything done – so the advice went. But I perceived that the problems in American healthcare call for sweeping, not incremental, change.

As we start a new year, we know that for many seniors January 1st also signals a fresh start for their Medicare health insurance coverage. Coverage and costs may change, deductibles reset, and those who changed health or drug plans start learning about their new plan benefits.
In 2015, Congress passed the Medicare Access and CHIP Reauthorization Act – or MACRA. In an attempt to streamline multiple quality programs for physicians, the law created the Merit Based Incentive Payments System (MIPS).