New law’s success or failure will ‘profoundly influence the future of the U.S. healthcare system’
Hillary designed a single payor system while “Slick was in his first term.”
It’s not just the physicians refusing to provide care, but insurance companies are following suit.
Her goal was to put insurance companies out of business.
Of course she does, she knows of no economic model other than socialism and progressivism.
It may take a village to hoist her fat body onto a commode.
In what may be the most significant modification to Medicare since the program began in 1966, on Oct. 15, the Centers for Medicare and Medicaid Services (CMS) released the final rule for implementing the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).
This is cause for real concern. If faced with increased reporting and administrative burdens, declining reimbursements and new payment arrangements that put their income at risk, many doctors — especially independent practitioners — may feel that they simply can’t afford to participate in Medicare anymore.
One recent survey of physicians found nearly 40-percent expect a “mass exodus” from Medicare over MACRA. Given the predicted shortage of doctors over the next decade and an aging population, this would be disastrous.
MACRA’s goal — to create a payment system that promotes better quality of care for patients and spends taxpayer money wisely — is sound. However, the necessary infrastructure to achieve that goal — meaningful quality measures and viable APMs — is not yet in place.
If MACRA is implemented according to the arbitrary timeline set by the administration, it could force doctors to abandon private practice for salaried positions or leave practice altogether — neither of which would be good for patient care.
So, yes, we all should care how doctors get paid.
John S. O’Shea, M.D., is a practicing surgeon and a senior fellow in The Heritage Foundation’s Center for Health Policy Studies.
MACRA creates two pathways for physician payment.
There’s the Merit-Based Incentive Payment System (MIPS), which will pay doctors based on how they score on a number of performance metrics relative to their peers.
The second pathway will reward doctors who participate in Alternative Payment Models (APMs) meant to promote high-quality, cost-efficient care by incentivizing doctors to work together toward a common purpose: improving patient outcomes while eliminating unnecessary spending.
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