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MACRA: The Risk-Savvy Approach

Analysis  |  By Debra Shute  
   August 18, 2016

Atrius Health has a long track record of being measured on quality. The system is expecting that experience to pay off.

Physician groups, particularly small practices, have raised many concerns about the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).

MACRA, the End of Meaningful Use, and Beyond

Still, some organizations, particularly those with an appetite for risk and the skills to manage it, will be ahead of the curve.

I spoke recently with Marci Sindell, chief strategy officer and senior vice president of external affairs for Massachusetts-based Atrius Health, about the lessons the system has learned so far about value-based care and how it will apply to MACRA.

The following transcript has been edited lightly.

HealthLeaders Media: With your longtime experience bearing risk, how well prepared do you feel to comply with MACRA? Will any of your groups qualify as an alternative payment model (APM) in the first reporting year?

Sindell: For Atrius Health being measured on a wide range of quality metrics in payer contracts, [and achieving] compliance with MACRA will not be very difficult. As a Medicare Pioneer ACO since 2012, we have a strong track record of scoring in the 90th percentile nationally in quality. We expect to participate in NextGen, so we will qualify as an APM in the first reporting year. 

HLM: How have you so far educated and engaged your employed physicians around the changes coming with MACRA?

Sindell: Our employed physicians have been well educated in population health management over the years, and are very engaged in quality improvement.

Debra Shute is the Senior Physicians Editor for HealthLeaders Media.

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