Responding to physician reactions to MACRA

#5in5_Blog_BannerHospitals need to understand that physicians are facing a significant disruptive force and they will react. That force is the Medicare Access and CHIP Reauthorization Act, or MACRA.

What’s important is how hospitals position themselves to respond to physicians’ reactions.

Leaders at hospitals and health systems should ask themselves about their ability to partner with and assist physicians – since individual doctors and even physicians groups may not have the capabilities or tools to meet the requirements.

Answers to the following questions may help hospitals and health systems determine the work that needs to be done to make the most out of the opportunity.

  • What payment models do you bring to the table?
  • Can you deliver on an advanced alternative payment model (APM)?
  • Can you set up an management services organization (MSO) model to aggregate and execute on the reporting requirements in Merit- based Incentive Payment System (MIPS)?
  • Do you have the comprehensive data, the advanced analytics systems and other resources you need to provide robust analysis and assess all potential outcomes?

While there is most definitely opportunity for hospitals, there is also work that needs to be done to make the most of that opportunity.

Click here to read the latest #5in5 episode and learn more about possible affects of MACRA on hospitals and health systems.

In five minutes, you’ll learn about how it could impact market consolidations, referrals, admissions, and revenues.


About the Author:

erikjohnsonheadshotErik Johnson, MBA

VP for Health Management Consulting

Erik is a VP for Health Management Consulting. He has broad experience in designing population health strategies for a broad array of providers. He was most recently Senior Vice President at Avalere Health, where he ran its Healthcare Networks consulting practice and oversaw new product development. Erik assisted healthcare systems in determining how to adopt and assess accountable care and bundled payment models, and guiding overall strategy. Erik also worked with health IT companies in responding to emergent issues around EHRs and data exchange.

Erik has an BA with honors and distinction from Stanford University and an MBA from the Stanford Graduate School of Business.

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