3 unintended consequences of MACRA
As physician practices get ready for the upcoming implementation of MACRA, many have a huge learning curve in front of them.
There’s still a lot of unease about the final rule to implement the Medicare Access and CHIP Reauthorization Act of 2015, which will determine how clinicians get reimbursed under the Medicare program. “I would argue that for doctors, it will be much bigger than Obamacare,” Michael Ivy, M.D., chief medical officer for Bridgeport Hospital in Connecticut, told NEJM Catalyst.
There a consensus that the law is here to stay, since MACRA had bipartisan support. “There is a really strong commitment to the program,” said Andrew Slavitt, acting administrator of the head of the Centers for Medicare & Medicaid Services, on a call with physicians last month. MACRA also replaced the onerous Sustainable Growth Rate formula, which no one wants to go back to.
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