MIPS MACRA and Payment Models

  • Marc J. KahnEmail author
  • Neil Baum


Payment for medical care has moved from a fee for service model, to a capitated managed care model, to a model that is based on the value of services provided. This chapter will discuss the history of payment models for medical services. The chapter will conclude with a discussion of MIPS and MACRA and the appropriate use of the electronic health record.


MIPS MACRA Fee for service Value-based purchasing Electronic health record 


  1. 1.
    OECD Better Policies for Better Lives. Accessed Jan 31 2019.
  2. 2.
    Out of pocket expenditure. World Health Organization Global Health Expenditure Database. Accessed Jan 31 2019.

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Department of Medicine, Office of Admissions and Student AffairsTulane University School of MedicineNew OrleansUSA
  2. 2.Tulane University School of MedicineNew OrleansUSA

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