“How do you think the secretary will determine quality and value? That’s right: through the use of the EHRs that MACRA envisions in every doctor’s office.”
And that is when I will quit Medicare.
The EHR is means by which the Medicare police will fine and imprison physicians.
Determining quality and value will be intentionally capricious and arbitrary and designed to criminalize medicine and fine doctors. I have very little Medicare right now, so I think I will phase out the few left very soon.