Clinical practice improvements can
help practices position themselves for MIPS or long-term APM participation, Ms. Gur-Arie adds. Achieving medical home recognition by the end of 2016, for example, “prepares you for either one,” she said, adding many private payers now offer medical home in- centive payments. Nor should exist- ing medical homes let their certifica- tion expire because renewal also takes time and planning. Practices already participating in an ACO, on the other hand, are on the APM track. Those interested should start planning and researching now. “And if you are on the fence, get off
the fence and do it now. No matter what you choose, this is how you will be expected to operate in the future,” Ms. Gur-Arie warns.
“NOT ALL WINE AND ROSES” The Physicians Foundation report echoes that message, calling the en- actment of MACRA “the harbinger of even deeper systemic changes to come in health care,” and pointing out that “the government’s work on both paths (MIPS and APMs) will proceed simultaneously, meaning that physi- cians must address current changes that are the building blocks for longer- term models.” The foundation and state medical
societies stand ready to help physi- cians face the challenge, as federal regulators have a heavy hand in shap- ing and carrying out the policy. “How- ever, the medical community has a shared obligation to ensure patients’ health care needs and medical prac- tice realities are reflected in new Medicare rules and requirements,” report authors write. CMS has only until Nov. 1, 2016,
to complete the majority of MACRA rulemaking, which means physicians “have a lot of work to do,” said Dr. Val- enti, an obstetrician-gynecologist in Denton. “Getting rid of the [SGR] un- certainty was very important. But it’s not all wine and roses now.” Organized medicine’s vigilance
BANKING.
INVESTMENTS. INSURANCE.
We work together so they’ll work together.
At Frost, our team will work together to give you customized solutions that make the most of your banking, investment and insurance needs, and help you reach your financial goals. So, if you could use a hand with any part of your financial life, our team is here to help you.
frostbank.com | (800) 513-7678
Investment and insurance products: are not FDIC insured, are not bank guaranteed, may lose value. Investment and insurance products are offered through Frost Brokerage Services, Inc., Member FINRA and SIPC. Insurance products are also offered through Frost Insurance. Deposit and loan products are offered through Frost Bank, Member FDIC.
Chiari Malformation
Not a rare disease, just rarely diagnosed on a timely basis Learn more at
Shannons-Hope.org/Physicians
September 2015 TEXAS MEDICINE 61
Page 1 |
Page 2 |
Page 3 |
Page 4 |
Page 5 |
Page 6 |
Page 7 |
Page 8 |
Page 9 |
Page 10 |
Page 11 |
Page 12 |
Page 13 |
Page 14 |
Page 15 |
Page 16 |
Page 17 |
Page 18 |
Page 19 |
Page 20 |
Page 21 |
Page 22 |
Page 23 |
Page 24 |
Page 25 |
Page 26 |
Page 27 |
Page 28 |
Page 29 |
Page 30 |
Page 31 |
Page 32 |
Page 33 |
Page 34 |
Page 35 |
Page 36 |
Page 37 |
Page 38 |
Page 39 |
Page 40 |
Page 41 |
Page 42 |
Page 43 |
Page 44 |
Page 45 |
Page 46 |
Page 47 |
Page 48 |
Page 49 |
Page 50 |
Page 51 |
Page 52 |
Page 53 |
Page 54 |
Page 55 |
Page 56 |
Page 57 |
Page 58 |
Page 59 |
Page 60 |
Page 61 |
Page 62 |
Page 63 |
Page 64 |
Page 65 |
Page 66 |
Page 67 |
Page 68