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The MACRA market is a subset of the health insurance industry that focuses on the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). This act was designed to improve the quality of care for Medicare beneficiaries while also reducing costs. It does this by incentivizing providers to participate in alternative payment models (APMs) that reward quality of care over quantity. These APMs are based on the Merit-based Incentive Payment System (MIPS) and the Advanced Alternative Payment Models (AAPMs).
The MACRA market is composed of a variety of stakeholders, including providers, payers, and technology vendors. Providers are responsible for participating in the MIPS and AAPMs, while payers are responsible for administering the programs and providing incentives to providers. Technology vendors provide the necessary software and services to facilitate the MACRA market.
Some of the companies in the MACRA market include UnitedHealth Group, Humana, CVS Health, Aetna, and Anthem. Show Less Read more