Healthcare DIVE August 31, 2016
Luke Gale

Dive Brief:

  • Fewer than 10% of providers will be able to participate in alternative payment models, one of the pathways, which abandons the fee-for-service model, healthcare policy experts argued in a Health Affairs blog post.
  • The Medicare Access and CHIP Reauthorization Act (MACRA) introduces two main pathways for physician payments in an attempt to shift away from the traditional FFS payment models.
  • MACRA has the potential to hold providers accountable for quality and cost while also giving them greater flexibility in how they practice, but the proposed rule does not provide clear guidance, the authors wrote.

Dive Insight:

MACRA will likely dole out more than $1.2 billion in bonuses and penalties affecting up to 836,000 providers in its...

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Topics: ACA (Affordable Care Act), ACO (Accountable Care), CMS, Congress / White House, Health System / Hospital, MACRA, Medicare, Patient / Consumer, Payer, Physician, Population Health Mgmt, Primary care, Provider, RCM (Revenue Cycle Mgmt), Regulations, Value Based
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