Research Article
Sustainable Growth Rate Repealed, MACRA Revealed: Historical Context and Analysis of Recent Changes in Medicare Physician Payment Methodologies
J.A. Hirsch, H.B. Harvey, R.M. Barr, W.D. Donovan, R. Duszak, G.N. Nicola, P.W. Schaefer and L. Manchikanti
American Journal of Neuroradiology February 2016, 37 (2) 210-214; DOI: https://doi.org/10.3174/ajnr.A4522
J.A. Hirsch
aFrom the Department of Radiology (J.A.H., H.B.H., P.W.S.), Massachusetts General Hospital, Boston, Massachusetts
bHarvard Medical School (J.A.H., H.B.H., P.W.S.), Boston, Massachusetts
H.B. Harvey
aFrom the Department of Radiology (J.A.H., H.B.H., P.W.S.), Massachusetts General Hospital, Boston, Massachusetts
bHarvard Medical School (J.A.H., H.B.H., P.W.S.), Boston, Massachusetts
R.M. Barr
cMecklenburg Radiology Associates P.A. (R.M.B.), Charlotte, North Carolina
W.D. Donovan
dNorwich Diagnostic Imaging Associates (W.D.D.), Norwich, Connecticut
R. Duszak Jr
eDepartment of Radiology and Imaging Sciences (R.D.), Emory University, Atlanta, Georgia
fHarvey L. Neiman Health Policy Institute (R.D.), Reston, Virginia
G.N. Nicola
gHackensack University Medical Center (G.N.N.), Hackensack, New Jersey
P.W. Schaefer
aFrom the Department of Radiology (J.A.H., H.B.H., P.W.S.), Massachusetts General Hospital, Boston, Massachusetts
bHarvard Medical School (J.A.H., H.B.H., P.W.S.), Boston, Massachusetts
L. Manchikanti
hPain Management Center of Paducah (L.M.), Paducah, Kentucky
iDepartment of Anesthesiology and Perioperative Medicine (L.M.), University of Louisville, Louisville, Kentucky.

References
- 1.↵Medicare Access and CHIP Reauthorization Act of 2015. (2015). 42 USC 1305.
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- 5.↵United States Department of Labor, Bureau of Labor Statistics. Spotlight on Statistics: Health Care. November 2009. http://www.bls.gov/spotlight/2009/health_care/. Accessed June 7, 2015.
- 6.↵Congressional Budget Office. Medicare's payments to physicians: the budgetary impact of alternative policies relative to CBO's March 2012 baseline. July 30, 2012. http://www.cbo.gov/sites/default/files/cbofiles/attachments/43502-SGR%20Options2012.pdf. Accessed June 7, 2015.
- 7.↵Medicare Payment Advisory Commission. Report to the Congress: Medicare and the Health Care Delivery System. Review of CMS's preliminary estimate of the 2013 update for physician and other professional services. June 2012. http://www.medpac.gov/documents/reports/jun12_appa.pdf?sfvrsn=0. Accessed June 7, 2015.
- 8.↵House Energy and Commerce Committee. Re: The need to move beyond the SGR. Statement of the American Medical Association before the House Energy and Commerce Committee Subcommittee on Health Presented by Cecil B. Wilson, MD, May 5, 2011. http://www.medsocdel.org/Portals/1/Health%20Care%20Reform%20Info/Proposal%20from%20the%20AMA.pdf. Accessed June 7, 2015.
- 9.↵Medicare Payment Advisory Commission. Report to the Congress. Medicare and the Health Care Delivery System. June 2012. http://www.medpac.gov/documents/reports/jun12_entirereport.pdf?sfvrsn=0. Accessed June 7, 2015.
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- Silva E 3rd., et al
- 22.↵American College of Radiology. NRDR PQRS Qualified Clinical Data Registry. http://www.acr.org/Quality-Safety/National-Radiology-Data-Registry/Qualified-Clinical-Data-Registry. Accessed June 7, 2015.
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- McCurdy DA,
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- 26.↵USA Today. First look at Medicare data in 35 years. http://www.usatoday.com/story/news/nation/2014/04/09/government-releases-medicare-physician-payment/7462923/. Accessed June 7, 2015.
In this issue
American Journal of Neuroradiology
Vol. 37, Issue 2
1 Feb 2016
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J.A. Hirsch, H.B. Harvey, R.M. Barr, W.D. Donovan, R. Duszak, G.N. Nicola, P.W. Schaefer, L. Manchikanti
Sustainable Growth Rate Repealed, MACRA Revealed: Historical Context and Analysis of Recent Changes in Medicare Physician Payment Methodologies
American Journal of Neuroradiology Feb 2016, 37 (2) 210-214; DOI: 10.3174/ajnr.A4522
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Sustainable Growth Rate Repealed, MACRA Revealed: Historical Context and Analysis of Recent Changes in Medicare Physician Payment Methodologies
J.A. Hirsch, H.B. Harvey, R.M. Barr, W.D. Donovan, R. Duszak, G.N. Nicola, P.W. Schaefer, L. Manchikanti
American Journal of Neuroradiology Feb 2016, 37 (2) 210-214; DOI: 10.3174/ajnr.A4522
Jump to section
- Article
- ABBREVIATIONS:
- Introduction and Focused History
- Organized Medicine Springs into Action
- The Tide Turns
- No More SGR, but Is MACRA Jumping from the Frying Pan into the Fire?
- Relativity in a Value-Based Paradigm
- Merit-Based Incentive Payment System
- Alternative Payment Models
- Selected Additional Elements of MACRA
- How Will MACRA Be Financed?
- Take-Home Points
- Footnotes
- References
- Info & Metrics
- Responses
- References
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