MACRA officialized a new framework for clinician reimbursement that rewards quality of care over high patient volume. This was a major step in the move towards value-based care for the U.S. — opposing the long-standing fee-for-service approach standard for most providers within the country.
The extension of CHIP is another major contribution of this legislation. CHIP helps to ensure that children and pregnant women across the U.S. who cannot afford private healthcare — but also fall too far above the federal poverty line to qualify for Medicaid — receive healthcare coverage.
MACRA also required providers to remove Social Security Numbers (SSNs) from all Medicare cards by April 2019 for improved security purposes.