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4 Responses

  1. MACRA

    Far too few doctors are ready.




  2. Value-Based Government (GACRA)?

    We decided that if MACRA is good for physicians, then the same thinking is probably a pretty good idea for the US government. We need Value-Based Government. It’s clear that past methods of paying for US Government services have been terribly inefficient. Costs keep going up. Quality keeps going down. We thought about doing this nationwide, with all US government personnel, but we will just do CMS leaders for now.

    Let’s call it a demonstration, we’re calling it GACRA, Government Access and CMS Revaluation Act.


    Tongue-in-Cheek by Mike Banks MD?



  3. New MACRA Rules Make Medicare Pay Cut in 2019 Less Likely

    Under pressure from organized medicine, the Medicare program has drastically simplified what physicians need to do next year to avoid a penalty in 2019 under the Medicare Access and CHIP Reauthorization Act (MACRA). Medicare isn’t delaying the new payment system outright, but it promises to do something close to that. CMS acting administrator Andy Slavitt announced in his blog that his agency would give physicians four MACRA options for 2017 that would let them pick their own pace of implementation — a very slow pace, if they choose. And each one would steer clear of a penalty in 2019.

    The first MACRA option announced by Slavitt today, an option dubbed “test the QPP,” allows physicians in MIPS to avoid the 2019 penalty by merely reporting some quality and cost data — “some” is undefined for now — in 2017. Under the second option, physicians in MIPS can submit quality and cost data for just part of 2017, and the performance period could begin later than January 1. Besides avoiding a penalty, these physicians could qualify for a small bonus in 2019. Submitting performance data for the full calendar year in 2017 is the third option, and Slavitt expects that many practices will be able to do this successfully. The fourth option is to join an Advanced APM, which, like the third option, has been available to physicians all along.

    Source: Robert Lowes, Medscape News [9/8/16]


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