Many physicians hope that Secretary of Health and Human Services Tom Price will ease the burden of reporting for small practices under MACRA, according to The Hill.
Depending upon eligibility for Alternative Payment Models (APMs), many smaller practices may be left treading water once MACRA eliminates fee-for-service payments. As the government is currently considering potential updates for 2018, physicians hope that Rep. Price will be a voice for those small specialties left out of the 11 currently defined APMs.
One potential avenue for smaller practices is through “virtual groups.” However, they have had issues getting off the ground:
Small practices will suffer the most under MIPS reporting requirements since they lack the technology and resources that larger hospitals have. The payment law allows for doctors to band together in “virtual groups” to clear that hurdle, but CMS postponed the groups last year after failing to work out all the kinks. One issue was figuring out how to integrate doctors using different electronic health record systems.
Whatever decisions are made, it is likely that Price will not increase reporting requirements. But on the other hand, erasing already set standards and reworking them to accommodate smaller practices would be detrimental to larger providers. Time will tell what MACRA’s requirements will look like going forward.