Medicare Access CHIP Reauth Act MACRA

Medical Economics via HealthIT Analytics ^ | 10/11/2016 | KEN TERRY

[spintreebob]

Fewer than half of physicians are aware of the Medicare Access & CHIP Reauthorization Act (MACRA), and most of those who do know about it probably wish it would go away. Nevertheless, this law will determine how Medicare reimburses doctors, starting in 2019. ... CMS won’t release its final MACRA rule ... CMS recenty changed the timeline ...

[spintreebob]

The rules, guidelines and timelines are constantly changing and never finalized.

Read the link. Is a Doctor incentivized to do what is best for the patient? Or is a Doctor incentivized to game the CMS rules?

http://healthitanalytics.com/resources/white-papers/an-everything-guide-to-macra-and-beyond?elqTrackId=d947203e10c54077af7d923a5b801b26&elq=484da09b4ece4da9a9bfee5a5ae7921e&elqaid=1071&elqat=1&elqCampaignId=958

[grumpygresh]

A doctor in an independent practice is incentivized to drop out of Medicare.
The loss of many doctors in their late 40s and 50s (to retirement and self pay practices) will result in productivity losses for the entire system and increased waiting time.

[spintreebob]

Small practices are incentivized to sell to big Healthcare complexes, which then are incentivized to turn the doctors into data entry clerks.

[Does so]

I can’t pronounce the names of about 80% of the doctors in central Florida. :(

[Jim Noble]

The loss of many doctors in their late 40s and 50s (to retirement and self pay practices) will result in productivity losses

It requires 2-2.5 new doctors to replace one old one, because they aren't making them like they used to.