February 26, 2016

ACR Responds to the CMS RFI for Medicare Administrative Contractor Awards

In response to a request for information (RFI) from the Centers for Medicare and Medicaid Services (CMS), the American College of Radiology (ACR) has expressed concern about the effects of Medicare Administrative Contractor (MAC) consolidation and other Medicare administrative changes.

CMS requested feedback on processes and procedures that could help incentivize and reward exceptional MAC contract performance, encourage legal authorities to administer a set of tasks including the publication of performance information on each MAC, and also make MAC jurisdictional changes.

The ACR responded to the CMS RFI regarding our concerns with the MAC’s role and responsibilities, considering that consolidation effort has resulted in fewer MAC entities covering more states. There remains concern with the level of local effectiveness, the availability for provider input, and transparency, quality and performance issues.

The College encouraged CMS to continue to work with individual physicians, their professional organizations and representatives of the Carrier Advisory Committee (CAC) Network for establishing the best incentives and rewards for exceptional MAC contract performance, for publishing of MAC performance information and for establishing meaningful MAC jurisdictional changes.

The ACR comment letter provides more details about our response to the Medicare Program RFI, especially concerning the awarding and administration of MAC contracts.

Please send any questions to Anita McGlothlin.