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Ready or Not, MACRA is Here.
  • Tina Colangelo
  • Mar 03 2017

Clinicians have the same look on their faces every time I turn around. They look like they have lost their puppy. It usually comes after I inform them that they will now be penalized for non-compliance in MACRA. Despite being deep into the first quarter of the MACRA race, there are a high percentage of clincians who still have not heard of MACRA. Or if they have heard of it, do no know what it is. Hitting the pause button will only instill feelings of regret later on. The clinicians who comply will start to reap the benefits that MACRA provides. The others will be left behind and lose money. 

The Centers for Medicare and Medicaid (CMS) has deemed the performance year of 2017 a transitional year for many reasons. The primary reason is because the complexity of the final rule (2,378 pages) is very hard to understand. With that being said, making the transition from fee for service to value-based care is not something that can happen instantly. There is a ton of restructuring to be done in order to meet the needs of the program. Investments need to be made in order to do well financially. The return of investment will not be overnight either. It will come in the payment year in 2019. 

Realistically speaking, having a strategic plan on how to comply with MACRA is vital to success. Tracking your performance throughout this transitional year of 2017 is important to ensure the strategy is working. If no, change it. You can afford to be somewhat flexiable in 2017. Starting in 2018, all clinicians must report performance data for 365 day. This is why strategic planning is key in 2017. 


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