HFMA April 4, 2017
Hospitals could face larger-than-expected Medicare payment cuts under the Medicare Access and CHIP Reauthorization Act (MACRA), a new study in Health Affairs found.
Under three different financial scenarios impacting hospital finances under MACRA, the study predicted Medicare hospital cuts could range as high as $250 billion by 2030. The authors said that while MACRA ended a contentious “cycle of deep uncertainty about Medicare payment rates for physicians under the sustainable growth rate (SGR) reimbursement formula,” it sparked a different kind of uncertainty.
“It is difficult to predict exactly how care will change” because of “the specific impacts of alternative payment models (APMs) on healthcare delivery.”
Peter Hussey, a senior policy researcher with the RAND Corporation and a co-author of the...