With a complete roadmap unavailable, and rank-and-file physicians not really paying attention, the next-best guides for physician practice leaders include existing programs such as PQRS, the value-based modifier, and meaningful use.
Physicians are now reimbursed for end-of-life talks, but most still avoid the conversation. Formal training and systems may go a long way toward making advance care planning not just best practice, but standard practice.
CMS’s new primary care payment model represents an opportunity for physicians practices experienced in care redesign to be compensated for those efforts. It signals to all groups that it’s time to get serious about improving outcomes.
The final rule on payment reform under MACRA may be weeks away, but providers are bracing for it as they mull two new payment tracks and await clarification on several key terms found in the legislation.