The fear of MACRA

Sessions aim to dispel concerns about new reimbursement mechanisms

Many physicians worry that the MACRA and MIPS programs, designed to increase the quality of care while reducing costs through value-based reimbursement, will make it difficult for them to continue to practice. A session during the RSNA 2016 conference at McCormick Place in Chicago, tackles the subject head-on with the session titled, “Will MACRA and MIPS Kill Your Practice?”

The new reimbursement programs certainly will bring new difficulties to physicians, says Zeke Silva, MD, a radiologist at South Texas Radiology Group in San Antonio. “The challenge is that the regulations are becoming apparent late in the process in a far-reaching and complicated manner,” he contends.

Silva and J. Raymond Geis, MD, a radiologist, informaticist and vice chair of the IT informatics commission at the American College of Radiology, will lay out the hurdles that lie ahead for doctors. “We’ll discuss MACRA in an objective fashion to think through what actions are needed to prepare and succeed,” Silva notes. They will cover what is necessary to reach exceptional performance, how to do the minimum, how physicians can literally “pick their pace” of adoption, and the financial consequences of doing nothing.

The speakers also will consider the changeover from fee-for-services on each unit of care to bundled payments and how radiologists can survive in the new reimbursement model. Asked for closing thoughts that the speakers want to leave with the audience, Silva replies, “I believe we will show that radiology has an important role under MACRA and will present specific tools to enable that success.” Still, he acknowledges, “We don’t have a lot at this point to make doctors more comfortable.”

The session is scheduled on Wednesday, November 30, in Room S501ABC at McCormick Place.

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