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800,000 Docs Get a Pass on MACRA Requirement Modern Healthcare by Virgil Dickson—More than 800,000 clinicians will not have to comply with Merit-based Incentive Payment System reporting requirements outlined in the Medicare Access and CHIP Reauthorization Act of 2015, or MACRA, which may save them millions collectively in compliance costs. The majority of physician practices were expected to use the Merit-based Incentive Payment System, known as MIPS, to comply with MACRA as opposed to alternative pay models. Under MIPS, payments would be based on a compilation of quality measures and use of electronic health records.