MACRA: Proposed rule raises endless questions, concerns
In the last few months, the subject of the proposed rule for Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) has been a major topic of conversation among the physicians, hospital leaders, patients and policy wonks I interact with in my roles of teacher in the Jefferson University College of Population Health, keynote speaker, and healthcare consultant. I hereby report there is rampant confusion and conflict in the healthcare land about how to pay physicians.
Three good overviews of MACRA can be found in a recent Commonwealth Fund blog post, a Leavitt Partners white paper published before the proposed rule came out and a Health Affairs blog post on the proposed rule
Many in organized medicine applaud the legislation for getting rid of the Sustainable Growth Rate formula, encouraging the transition from fee-for-service to value-based payment systems and extending the Children’s Health Insurance Program, the Community Health Centers, National Health Service Corps. and the Teaching Health Center. They also point out that MACRA provides physicians with predictable income for the next several years. The American College of Physicians, which represents internists, is an example of a physician organization that has come out in support of MACRA.
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