Tag Archives: MACRA

Adjusting Group Practice Compensation in a World Turning Value-Based (Part I of II)

By: Mike Segal     Payors are beginning to take steps to transform from reimbursement based on medical services rendered, or “fee for service” medicine, to payment for attaining quality measures without regard to volume, which is often called “value based” … Continue reading

Posted in Mike Segal, Regulatory | Tagged , , , , , , , , ,

Physicians – Dissatisfaction, Change, and Dealing With Both

By: Stephen H. Siegel November, when physicians, other healthcare professionals, and their businesses frequently begin planning for the upcoming year. It is also time to look inward/backward and consider those goals not achieved, surprises (pleasant and unpleasant), disappointments, and unanticipated … Continue reading

Posted in Care Delivery, Stephen Siegel | Tagged , , , , , , , , , ,

The Evolving Role of Pharmacists in the Transformation to Payment for Quality and Cost-Effectiveness and the Attendant Legal Hurdles

By: Paul DeMuro, Ph.D., J.D., M.B.A., CPA, and Yesenia Prados, Pharm.D The traditional role of pharmacists When one thinks of pharmacists, one typically thinks of the individual in the retail pharmacy who fills his or her prescription that was “written” … Continue reading

Posted in Care Delivery, Clinical Integration, Paul DeMuro | Tagged , , , , , , , , , , , ,

CMS Announces New Flexibility with MACRA

By: Mike Segal It is now quite clear that the Medicare Access and CHIP Reauthorization Act, or MACRA, enacted into law in 2015, will have a telling effect on how Medicare reimburses for physician services. In April 2016, the Centers … Continue reading

Posted in Care Delivery, Mike Segal | Tagged , , , , , , , , , , , , , , ,

Is The Death Of SGR A Good Thing, Or A Bad Thing?

By: Stephen Siegel On April 16 President Obama signed the Medicare Access and Chip Reauthorization Act (“MACRA”). MACRA abandons the Sustainable Growth Rate (“SGR”) for adjusting the Medicare Physician Fee Schedule and provides a new approach to paying for the … Continue reading

Posted in Care Delivery, Stephen Siegel | Tagged , , , , , , , ,