The High Price of MACRA Mistakes
Help for physicians, physician assistants and others impacted by MACRA
January 18, 2017
Heather Lavoie, Chief Strategy Officer, Geneia
The first measurement year is upon us. Unfortunately, too many sources reveal that your provider communities are unaware and unprepared for MACRA (Medicare Access and CHIP Reauthorization Act of 2015). While the Centers for Medicare and Medicaid Services (CMS) have provided a degree of flexibility for 2017, letting this year slip by will be a grave misstep.
According to the 2016 Survey of American Physicians, a mere 20 percent of physicians are “somewhat” or “very” familiar with MACRA -- the vast majority of physicians across practice type, age, gender and employment type are unaware or neutral at best:
The Deloitte Center for Health Solutions 2016 Survey of US Physicians found:
We hear from all our health plan clients that strengthening provider relationships is a top priority. Here’s a good opportunity to take one of the many small actions that further this objective.
Whether or not you have a shared communication platform with your providers, you must reach out to help ensure they are aware of MACRA and that they are taking the necessary steps to avoid penalties.
There are many things you can and should be doing on a grander scale to prepare your organization for the sweeping changes ahead. This one outreach alone is not enough, but it’s something.
We understand that you are busy, so we wrote a sample email message that you can share with your provider community. It’s free. You’re welcome.
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Subject: Protect Your Medicare Reimbursements
CMS has changed the way you will be reimbursed for your Medicare populations. Right now – 2017 – is the first measurement year and will impact your 2019 reimbursement rates (by as much as -4 percent).
This change is a result of MACRA – the Medicare Access and CHIP Reauthorization Act of 2015.
Your options for this year are flexible, but only for this year.
If you participate in an approved alternative payment model: a 5 percent bonus payment will be earned by clinicians receiving 25 percent of their Medicare payments and seeing 20 percent of their Medicare patients through an advanced APM.
Read more about MACRA’s quality payment program here.
Don’t delay. Please reach out to us for additional resources.
Payers are also asking themselves – how will MACRA affect us? What, if anything, should we do to prepare?
Clinicians are the front lines of every healthcare system.
MACRA aims to drive positive patient outcomes and reward physicians and clinicians who engage in the activities that support and further these goals.