"It's imperative that such standards are clearly defined and appropriately matured to facilitate meaningful data exchange," CHIME's letter said.
Given where we sit in the midst of an election year, while there is interest on the part of some politicians to pass legislation modifying MACRA to address these concerns, Branzell notes that "we do have the rules that we have."
More legislation seems unlikely until after this election cycle. Meanwhile, Branzell's concern remains that CMS is "repeating now the same mistakes we made in [meaningful use] stage 1 and stage 2."
Both Kramer and Branzell note that forward-looking healthcare organizations are not waiting for further rulemaking, but are making the best effort they can, with the resources they have, to pivot from fee-for-service to value-based care, using the tools available.
"The good organizations that are out there, of which there are many, are already working on that for the right reasons, and it's not because the government is going to come out with one of these models," Branzell says.
Scott Mace is the former senior technology editor for HealthLeaders Media. He is now the senior editor, custom content at H3.Group.