Bill > S810

This bill, titled the SGR Repeal and Medicare Provider Payment Modernization Act of 2015, aims to repeal the Medicare Sustainable Growth Rate (SGR) system, which had previously dictated physician payment updates, and replace it with a new payment framework. It establishes a Merit-based Incentive Payment System (MIPS) that will assess eligible professionals based on four performance categories: quality, resource use, clinical practice improvement activities, and meaningful use of certified electronic health record (EHR) technology, with their composite performance score determining payment adjustments. The bill also promotes participation in Alternative Payment Models (APMs), offering incentive payments to qualifying APM participants, and encourages care management for individuals with chronic conditions by establishing payment for these services. Furthermore, it seeks to improve transparency by making physician and provider data publicly available, expand access to Medicare data for qualified entities to support quality improvement initiatives, and reduce administrative burdens by promoting EHR interoperability and allowing physicians to opt out of Medicare more easily.