On April 27, 2016, just over a year after the Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law, the Department of Health and Human Services (HHS) unveiled the long-awaited proposed rule to begin its implementation.

The 962-page notice offers important insight for health care providers into how the Center for Medicare and Medicaid Services (CMS) will link physician payments to quality care through MACRA.

On April 16, 2015, President Obama signed MACRA into law, marking the end to the unpopular Sustainable Growth Rate (SGR) and transforming Medicare by moving away from traditional fee-for-service payments.