“It can be daunting when you look at your to-do list, but you don’t have to do it all at once.”ĭevelop a plan.
“Take a deep breath and don’t panic,” Squire says. Understanding these gaps between what you already do and what MACRA requires is key to a successful transformation. “Many are based on treating diseases to improve outcomes and using prevention screening-most physicians are doing that today.” “Figure out what you are already doing that you can get credit for under MIPS that you haven’t declared,” says John Squire, president and chief operating officer of Amazing Charts, an EHR vendor. Most small practices probably will opt for MIPS, which measures quality, advancing care information (meaningful use) and clinical practice improvements to start (resource use will be included later.) The law directs physicians to choose one of two reimbursement paths-advanced alternative payment models (APMs) or the Merit-based Incentive Payment System (MIPS). Documenting and reporting every treatment through a certified EHR or other approved method is the only way physicians can get paid for services. “Physicians have gotten a lot better over the years with electronic health records (EHRs), but it’s going to be even more important that physicians aren’t just ‘doing’ but documenting,” says James. MACRA will most likely serve as the road map for other payers, so get used to the reporting requirements, says James. Healthcare reimbursements are migrating from volume to value. If you haven’t already started, you need to get started ASAP.”Īccept reality. “Physicians need to get together and accept it. Patrick James, MD, chief clinical officer, health plans and policy and medical affairs for Quest Diagnostics, a healthcare technology provider. “Each practice needs a Paul Revere to ride through shouting, ‘MACRA is here, change is here,’” says L. “This is going to be transformative.”Īnd even though MACRA begins taking effect January 1, many physicians still don’t know what they need to do to comply. “MACRA is the biggest thing that’s hit healthcare payments in a generation,” says John Goodson, MD, an internist at Massachusetts General Hospital and an associate professor of medicine at Harvard Medical School. Here are their responses, starting with the biggest challenge of the coming year. For this latest presentation, we asked readers to tell us what challenges they face each day and where they needed solutions.
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These were just some of the challenges physician readers told Medical Economics they experienced this year and anticipate continuing for the foreseeable future.įor the fourth consecutive year, Medical Economics reveals its list of obstacles physicians will face in the coming year and, more importantly, how to overcome them. Balancing the need to deal with patients who won’t listen or won’t pay while also seeking positive patient satisfaction scores remains a daily struggle for many. And running a private practice did not get any easier. A long presidential election finally reached its conclusion, but the consequences of a Republican Congress and President-elect Donald J. Physicians have just started to digest the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) and its changes to physician reimbursement.
2016 was a challenging year on many fronts for healthcare providers.
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