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Survey: MACRA a mystery to 50% of physicians


Only about half of the physicians surveyed by Deloitte’s Center for Health Solutions are familiar with the provisions of the Medicare Access and CHIP Reauthorization Act (MACRA) although it will bring about huge change in how healthcare is paid for and run.

MACRA is meant to speed healthcare’s transition to value-based payment models by offering  clinicians financial incentives to manage increasing percentages of patients under risk-sharing or coordinated-care contracts.

Becker’s Hospital Review summarized four survey findings:

1. “Nearly 50 percent of non-pediatric physicians surveyed said they had heard of MACRA.

2. “Self-employed physicians or physicians affiliated with independently owned medical practices (21 percent) were more likely to be at least somewhat familiar with MACRA than physicians employed by hospitals, health systems or medical groups (9 percent).

3. “Eight in 10 physicians said they preferred traditional fee-for-service or salary-based compensation models as opposed to alternative payment options. Many physicians said they believe performance reporting will be an administrative burden, according to Deloitte.

4. “Physicians largely agreed that the need to bear increased financial risk under quality-based care models will spur market consolidation. About 58 percent said they would consider affiliating with a larger organization to stay financially viable under value-based care models. Eighty percent of physicians said they expect their peers to join larger organizations or networks due to MACRA.”

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