Features  |   June 2017
MACRA Reporting: How to Succeed
Article Information
Advocacy and Legislative Issues / Features
Features   |   June 2017
MACRA Reporting: How to Succeed
ASA Monitor 06 2017, Vol.81, 8-10.
ASA Monitor 06 2017, Vol.81, 8-10.
In 2014, the 53rd Annual Emery A. Rovenstine Memorial Lecture titled “Health Care at the Crossroads: The Imperative for Change” warned anesthesiologists about soon-to-come innovations in reimbursement by health care payers. In 2017, the “time is now” as these innovations will be affecting nearly every anesthesiologist in the U.S.!
2017 will be a year of transformational change for physician reimbursement, as the new provisions of MACRA (Medicare Access and CHIP Reauthorization Act) begin to take effect: positive and negative Medicare payment updates based upon performance on quality metrics, cost and value in the Merit-Based Incentive Payment System (MIPS) that will apply to most anesthesiology groups. In addition to the federal government, purchasers of health care (business and insurance plans) are increasingly requiring demonstration of metrics of quality and value in the assessment of whether to include your group and hospital in their plans. While many large and mega-group practices are successfully navigating these waters, small and medium-sized groups, including those in academia, are being left behind. This is not something to ignore, as the consequences of failure to participate may have existential ramifications, including loss of contracts, reduced salary and potential job loss! While not all communities in the U.S. have yet to be affected by this sea of change, the provisions of MACRA will affect us all within the next several years. Even if your proportion of governmental reimbursement is low, many funders of health care will incorporate the governmental payment policies with emphasis on value into their choice of networks and providers. Hence, if your group is not already considering what this means to your practice, you will need to focus now on how you can make the change to measure and report quality metrics. Fortunately, ASA and the Anesthesia Quality Institute (AQI) have outstanding resources to help you navigate your way!
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