It’s been a year since the U.S. Congress passed the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015. But while some celebrated the replacement of the Sustainable Growth Rate (SGR) formula, ASA had a measured response – not endorsing or opposing the legislation – because of both MACRA’s uncertainties and its failure to directly address the 33 percent problem. ASA continues to be concerned about the specifics of MACRA’s implementation and how it will impact physician anesthesiologists, for better or worse, and their practices. Regardless, the law and its forthcoming regulation will fundamentally and dramatically alter how physician anesthesiologists are paid by the Centers for Medicare & Medicaid Services (CMS) in the years to come.

In this time of transition, members may be quite anxious – experiencing some difficulty in understanding new terminology and trying to decide the...

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