For medicare's new approach to physician payment, big questions remain

Health Affairs

Volumn 35, Issue 9, 2016, Pages 1643-1646

  Wynne, Billy ^a  

^a TRP Health Policy   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

HUMAN; HUMAN EXPERIMENT; MEDICAL FEE; MEDICARE; UNCERTAINTY; CLINICAL PRACTICE; ECONOMICS; FEMALE; FORECASTING; HEALTH CARE COST; HEALTH CARE DELIVERY; HEALTH CARE POLICY; HEALTH ECONOMICS; MALE; PERSONNEL MANAGEMENT; PROSPECTIVE PAYMENT; TRENDS; UNITED STATES;

DELIVERY OF HEALTH CARE; ECONOMICS, MEDICAL; FEE-FOR-SERVICE PLANS; FEMALE; FORECASTING; HEALTH CARE REFORM; HEALTH EXPENDITURES; HUMANS; MALE; MEDICARE; PHYSICIAN INCENTIVE PLANS; PRACTICE PATTERNS, PHYSICIANS'; PROSPECTIVE PAYMENT SYSTEM; UNITED STATES;

EID: 84988446601     PISSN: 02782715     EISSN: 15445208     Source Type: Journal    
DOI: 10.1377/hlthaff.2016.0939     Document Type: Article

References (11)

1. Centers for Medicare and Medicaid Services. Medicare Program; Merit-Based Incentive Payment System (MIPS) and Alternative Payment Model (APM) incentive under the Physician Fee Schedule, and criteria for physician focused payment models. Proposed rule. Federal Register [serial on the Internet]. 2016 May 9 [cited 2016 Jul 27]. Available from: https://www.federal register.gov/articles/2016/05/09/ 2016-10032/medicare-programmerit-based-incentive-paymentsystem-mips-and-alternativepayment-model-apm
2. Findlay S. The big fix. Medicare doc pay enters a new era. Health Care Blog [blog on the Internet]. 2015 Apr 15 [cited 2016 Jul 27]. Available from: http://the healthcareblog.com/blog/2015/04/ 15/the-big-fix-medicare-doc-payenters-new-era/
3. Slavitt A. Statement of Andy Slavitt [submitted testimony], acting administrator, Centers for Medicare and Medicaid Services, on Medicare Access and CHIP Reauthorization Act of 2015: ensuring successful implementation of physician payment reforms, before the U.S. Senate Committee on Finance [Internet]. Washington (DC): US Senate; 2016 Jul 13 [cited 2016 Aug 9]. Available from: http://www.finance.senate.gov/imo/media/doc/CMS%20 Testimony%20-%20MACRA%20 (A.%20Slavitt)%207.13.16.pdf
4. American Medical Association [Internet]. Chicago (IL): AMA. Press release, AMA disappointed CMS moving ahead with problematic information on website for patients; 2015 Dec 10 [cited 2016 Jul 27]. Available from: http://www.amaassn. org/ama/pub/news/news/ 2015/2015-12-10-cms-problematicinformation-patients.page
5. Eisner MD, Blanc PD, Omachi TA, Yelin EH, Sidney S, Katz PP, et al. Socioeconomic status, race and COPD health outcomes. J Epidemiol Community Health. 2011; 65(1):26-34.
6. Terry K, Ritchie A, Marbury D, Smith L, Pofeldt E. Top 15 challenges facing physicians in 2015. ModernMedicine [serial on the Internet]. 2014 Dec 1 [cited 2016 Jul 27]. Available from: http://medicaleconomics.modernmedicine.com/medicaleconomics/ news/top-15-challengesfacing-physicians-2015?page=full
7. Kocher R, Sahni NR. Hospitals' race to employ physicians-the logic behind a money-losing proposition. N Engl J Med. 2011;364(19):1790-3.
8. Harris RC. Letter to Andrew Slavitt re: proposed rule for the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) Merit-Based Incentive Payment System (MIPS) and alternative payment model (APM) incentive under the physician fee schedule, and criteria for physician-focused payment models, CMS-5517-P [Internet]. Washington (DC): American Society of Nephrology; 2016 Jun 27 [cited 2016 Jul 27]. Available from: https://www.asnonline. org/policy/webdocs16.6.27_ FINAL_ASN_MACRA_Comments.pdf
9. American Medical Group Association. Accountable care organization refinement brief [Internet]. Alexandria (VA): AMGA; [cited 2016 Jul 27]. Available from: https://www.amga.org/wcm/advocacy/issues/ acorefineib.pdf
10. Robert Graham Center [Internet]. Washington (DC): The Center. Press release, Small, solo family medicine practices lag in patient-centered medical home certification; 2015 Apr 1 [cited 2016 Jul 27]. Available from: http://www.graham-center.org/rgc/press-events/press/allreleases/ 04012015-solo-practiceslag. html
11. Centers for Medicare and Medicaid Services (CMS), U.S. Department of Health and Human Services, Washington, DC, at the full committee hearing, Medicare Access and CHIP Reauthorization Act of 2015: ensuring successful implementation of physician payment reforms, before the Senate Finance Committee [Internet]. Washington (DC): US Senate; 2016 Jul 13 [cited 2016 Aug 9]. Available from: http://www.finance.senate.gov/hearings/medicareaccess-and-chip-reauthorization-actof-2015-ensuring-successfulimplementation-of-physicianpayment-reforms