Currently Viewing:
ACC 2017
Dr Rob Nolan Discusses Behavioral Foundations of eCounseling Programs
June 10, 2017
Dr Rob Nolan Explains Behavioral Principles Behind eCounseling Hypertension Program
May 15, 2017
Dr Seth J. Baum on the Patient's Role in Getting PCSK9 Inhibitors Approved by Payers
May 10, 2017
Dr William Borden Discusses MACRA Requirements From a Cardiologist's Perspective
May 08, 2017
Dr Janet Wright on Cardiologists' Role in Public Health and Prevention Efforts
April 15, 2017
Dr Rob Nolan on the Future Directions of eCounseling Research
April 14, 2017
Dr Seth J. Baum Discusses Payers' Reluctance to Approve Coverage of PCSK9 Inhibitors
April 07, 2017
Dr Janet Wright Discusses How Million Hearts Will Leverage Partnerships for Success
April 06, 2017
Dr Robert P. Giugliano Discusses the Significance of the FOURIER and EBBINGHAUS Trials
April 06, 2017
Dr Seth J. Baum on the Patient's Role in Getting PCSK9 Inhibitors Approved by Payers
March 20, 2017
Dr Jim McDermott Discusses Objectives and Outcomes of CVD-REAL Trial
March 20, 2017
Charting the Path to Health Equity: Steps for Providers
March 20, 2017
Dr Janet Wright Outlines Goals and Roadblocks of Million Hearts Initiative
March 20, 2017
Dr William Borden: Advice for Cardiologists on Adjusting to MACRA
March 19, 2017
Dr Rob Nolan Discusses Findings From REACH Hypertension eCounseling Trial
March 19, 2017
Can SGLT2 Inhibitors Prevent Heart Failure in a Broad Population?
March 19, 2017
Data Show It's Hard to Fill PCSK9 Prescriptions, Confirming Cardiologists' Complaints
March 19, 2017
Dr Robert P. Giugliano on the Results of the EBBINGHAUS Evolocumab Cognitive Study
March 18, 2017
Low-Dose Xarelto Beats Aspirin for Long-Term Prevention of Life-Threatening Blood Clots
March 18, 2017
Currently Reading
Bringing MACRA to Cardiologists, Ready or Not
March 17, 2017

Bringing MACRA to Cardiologists, Ready or Not

Mary Caffrey
Coverage from the American College of Cardiology Scientific Session.
With the first step in the Walter E. Washington Convention Center Thursday evening, the word “MACRA” was impossible to miss. A sign bearing the acronym for Medicare Access and CHIP Reauthorization Act, the law passed in 2015 to change the way physicians are paid, was just inside the door to greet those arriving for the 66th Scientific Session of the American College of Cardiology (ACC), taking place in Washington, DC.

ACC President Richard Chazal, MD, explained its importance in his remarks at the opening session, saying MACRA “is likely to bring the most dynamic and systematic changes that we may see in our professional lifetimes,” as Medicare—a payer of great importance to cardiologists—moves from volume-based to value-based systems.

“The early years of MACRA are going pose some very real challenges to physicians accustomed to the current system,” Chazal said.

That may be an understatement.

About a half-hour earlier, a cardiologist waiting for the opening session asked what MACRA was. When told it had to do with value-based care, he scoffed, “Oh, that!” Like many physicians, he had complaints about the functionality of electronic health records (EHR), and he was not a fan of practicing in teams, except in the operating room.

Hours later, a panel of policy all-stars presented viewpoints on making MACRA work. First, Kate Goodrich, MD, MHS, director of the Center of Standards and Quality and chief medical officer at CMS, took a roomful of cardiologists through the key decision points of MACRA for 2017:
  • First, does the physician do enough Medicare billing to even be eligible?
  • Do the physicians want to submit a small amount of data to test the waters, or commit to partial or full year of data submissions under the Merit-based Incentive Payment System (MIPS)?
  • Is the practice ready for an Advanced Alternative Payment Model (APM)?
  • Should the physician submit as an individual or part of a group?

Physicians can’t afford to not know what MACRA is, because activity happening in 2017 must be submitted a year from now, to affect payment in 2019.

Goodrich acknowledged that CMS has heard provider complaints about the first-generation programs that paved the way for MACRA. It has tried to streamline the next step into value-based payment, even “rebranding” MACRA (which Congress picked) into the Quality Payment Program.

She offered examples of MIPS participation for cardiologists and discussed APMs—both existing and forthcoming—that will be especially relevant. Cardiology lends itself to Next Generation Accountable Care Organizations, but the big change will come with cardiac payment bundles, which she listed as coming in 2018.



 
Copyright AJMC 2006-2017 Clinical Care Targeted Communications Group, LLC. All Rights Reserved.
x
Welcome the the new and improved AJMC.com, the premier managed market network. Tell us about yourself so that we can serve you better.
Sign Up
×

Sign In

Not a member? Sign up now!