Economics BY STEVE LEVINE
Dallas cardiologist Rick Snyder, MD, says his large medical group won’t be ready by Jan. 1, 2017, to meet the requirements of a proposed rule to implement the Medicare Access and CHIP Reauthorization Act (MACRA). He worries smaller groups and solo physicians won’t be able to survive under MACRA’s burdensome and costly provisions.
MACRA: Fix or folly?
TMA LEADS MEDICINE’S CHARGE TO SIMPLIFY PROPOSAL, ESPECIALLY FOR SMALL PRACTICES
T
o hear Dallas cardiologist Rick Snyder, MD, tell it, if his large and so- phisticated practice can’t make it under Medicare’s proposed new pay- for-quality rule, there’s no hope for the little guys.
“We pride ourselves on being cutting-edge on regulatory compliance,” Dr.
Snyder told a high ranking Center for Medicare & Medicaid Services (CMS) official who came to Dallas to hear what physicians think of the agency’s draft rule to implement the Medicare Access and CHIP Reauthorization Act (MA- CRA). “There’s no way in the world we are going to be ready Jan. 1. Our goal is just not to lose money.”
PHOTO BY BRETT BUCHANAN
Dr. Snyder, a member of the Texas
Medical Association Board of Trust- ees, is vice president of his group, HeartPlace. With more than 70 physi- cians in more than 25 North Texas locations, HeartPlace is the largest inde- pendent cardiology group in the state and one of the largest in the nation. He says his practice has an information technology department of 10, is plan- ning to add at least two more employ- ees, and is changing to a new electron- ic health record (EHR) vendor largely due to MACRA requirements. Dr. Snyder met in Dallas with CMS
Deputy Chief of Staff Tim Gronniger, who came to Texas at TMA’s invita- tion. TMA President Don R. Read, MD; Trustee Carrie de Moor, MD;
September 2016 TEXAS MEDICINE 41
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