A survey of 800 oncologists and urologists found that they have significant concerns about their practices’ preparations to shift to new payment incentives that will be used under emerging federal payment programs.

About seven in 10 of the specialists say they are not ready to make the shift to payments under the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). The law creates two payment pathways for physicians—alternative payment models (APMs) and the Merit-based Incentive Payment System (MIPS).

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