Channel Sponsor - Coding/Billing/Collections

Sponsored by National Medical Billing Services | | (636) 273-6711

MACRA may force small practices to consolidate into larger groups, physicians predict: 5 findings

  • Small
  • Medium
  • Large

A Medscape Medical News Survey found almost 33 percent of physicians in small practices predict CMS' Medicare Access & CHIP Reauthorization Act of 2015 will result in small practices merging into larger groups.

Under MACRA, physicians can participate in the Merit-Based Incentive Payment System or the Alternative Payment Models. MIPS consists of a weighted score of quality, resource use, meaningful use and practice improvement scores. Physicians have the opportunity to receive financial bonuses if they obtain good quality outcomes. However, many may face penalties if they fail to meet CMS' requirements.

Here are five findings:

1. More than half (59 percent) of physicians in practices with less than 25 clinicians expect to receive a performance penalty as high as 4 percent under MACRA.

2. Merely 9 percent of physicians in groups with less than 25 clinicians anticipate a bonus.

3. Twelve percent of physicians in small practices expect zero compensation change under MACRA.

4. CMS initially estimated most clinicians in groups of 24 or less will endure a penalty in 2019. Initial estimates anticipated CMS' Merit-Based Incentive Payment System would provide bonuses or penalties to nearly 102,788 solo practitioners. Of that figure, nearly 87 percent would face MIPS penalties in 2019.

5. In May, Acting CMS Administrator Andy Slavitt said small practices can succeed as well as larger practices in regard to CMS' MACRA. MACRA allots $100 million over five years for technical assistance to practices with 15 or fewer clinicians, particularly in rural and underserved areas.

More articles on coding & billing:
CMS data: In 2015, healthcare industry made $7B+ in payments, investment interests to physicians
Medicare celebrates 50 years — Here's how the program has evolved & where it falls short
Obama administration to update Medicare Part B payment proposal, but will this be enough to squash opposition?

Copyright © 2021 Becker's Healthcare. All Rights Reserved. Privacy Policy. Cookie Policy. Linking and Reprinting Policy.


Featured Webinars

Featured Whitepapers

Featured Podcast