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    Small practices likely to be ‘losers’ under MACRA


    John Moore, founder and managing partner of healthcare analyst firm Chilmark Research in Boston, Massachusetts, agrees that the sooner small practices deliberate and decide on quality measures they will report on, the better.

    “The biggest challenge for the vast majority of physicians is simply defining what measures that they will be required to report out on best match their practice,” Moore says. He adds that these groups should examine what quality measures are the easiest to collect with existing or slight modifications to current workflow and whether measure collection will vary from physician to physician in a single practice.

    “As quality measures alone represent 50% of [the MIPS] score, attention needs to focus here first,” he says.”

    Similarly, with advancing care information representing another 25% of a physician’s score, Moore advises physicians look at “what has or will work best” based on current experience and workflows.

    “For example, if practice has highly engage consumer/patient base that are using the patient portal, then make that one of the measures to hit,” he says.




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      as expected, "affordable and quality value care" will kill the small independent practices, and the large ones will spend more to comply with MACRA, or whatever acronym system is next. In our area we are already seeing more doctors not accepting Medicare and this will only increase in the future.

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