title: Anticipated Changes in Spine Practice with Advancing Center for Medicare and Medicaid Services-Required Changes.
abstract: In providing spinal care to neurosurgical patients, cost and quality metrics are areas of interest to many. The federal government has legislated changes mandated for Centers for Medicare and Medicaid Services-enrolled patient care. The ever-changing administrative and patient-care challenges and opportunities are explored in this article, highlighting the Medicare Access and CHIP (Children's Health Insurance Program) Reauthorization Act of 2015 (MACRA), in the context of the Affordable Care Act. Trends in contemporary spinal care, addressing bundling, patient satisfaction, and ambulatory surgical centers are featured.
authors.affiliation: Department of Neurosurgery, Medical College of Wisconsin, Milwaukee, Wisconsin.
authors.forename: Karin R
authors.initials: KR
authors.lastname: Swartz
authors.affiliation: Department of Neurosurgery, Yale University School of Medicine, New Haven, Connecticut.
authors.forename: Joseph S
authors.initials: JS
authors.lastname: Cheng
mesh_terms: D000328:Adult; D000368:Aged; D002648:Child; D006801:Humans; D008484:Medicaid; D006278:Medicare; D019635:Neurosurgical Procedures / Q000191:economics*; D058991:Patient Protection and Affordable Care Act; D013122:Spinal Diseases / Q000191:economics / Q000601:surgery*; D014481:United States
keywords: APM; ASC; CMS; MACRA; MIPS; cost-containment; quality