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Jmiller

Author's details

Name: Joyce Miller
Date registered: April 3, 2012
URL: http://www.aahs.org

Latest posts

  1. Implementing MACRA: Implications for physicians and physician leadership — September 12, 2016
  2. Evolutionary pressures on the Electronic Health Record: Caring for complexity — August 16, 2016
  3. JAMA: United States Healthcare Reform: Progress to Date and Next Steps, by Barack Obama; and Editorial: The Affordable Care Act and the Future of U.S. Healthcare — July 12, 2016
  4. Alzheimer’s & Dementia: MIND Diet Associated with Reduced Incidence of Alzheimer’s Disease — July 7, 2016
  5. NEJM: Early Performance of Accountable Care Organizations in Medicare — July 5, 2016

Most commented posts

  1. “PubMed Clinic” – Learn how to use our intranet electronic medical library and tie it into PubMed searching — 1 comment
  2. Earn 2 CME credits! Come to a “Pubmed Clinic” — 1 comment
  3. Mediterranean diet and fracture risk in postmenopausal women — 1 comment
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Author's posts listings

Implementing MACRA: Implications for physicians and physician leadership

by jmiller on September 12, 2016

In this Viewpoint (NEJM, June 14), “MACRA (Medical Access and CHIP Reauthorization Act), will overhaul Medicare’s physician payment system starting in 2019, placing most physicians in the Merit-Based Incentive Payment System (MIPS), a pay-for-performance system that adjusts payments based on measures derived from prior care.  Physicians can be exempt from MIPS and receive bonus payments by demonstrating sufficient participation in advanced alternative payment models (APMs), which are intended to support greater flexibility in care delivery alongside greater accountability for efficiency and care improvement.  The proposed rule has begun the historic and complex undertaking of reforming physician payment.  Despite its size and scope, the rule leaves many questions unsettled, including certainty about the best pathways forward for many types of physicians, and how much influence the reforms will leave on quality of care and spending for Medicare beneficiaries.  Click here to read full text.