Tag Archives: MACRA

As MACRA Implementation Proceeds, Changes Are Needed

MACRA threatens to push many providers out of fee-for-service before they have a safe place to land. Policy makers should consider both making the Merit-Based Incentive Payment System less onerous and greatly accelerating the development and implementation of viable alternative payment models.

April 21, 2017

The Future Of Delivery System Reform

There is bipartisan agreement on the goal of promoting more efficient and effective health care. The debate is over the best way to accomplish the goal, not the goal itself.

April 20, 2017

What Now?: A Four Step Plan For Bipartisan Health Reform

In four broad steps, we have an opportunity to move past partisan bickering and put our health care system on stronger footing.

April 4, 2017

Innovation In Serious Illness Care Payment: Progress To Date And Opportunities For The New Administration

Discern Health recently developed a framework of principles for payment models to promote the delivery of community-based, comprehensive, high-quality, affordable serious illness care. Here are some key opportunities for policymakers to continue progress toward high-value care for the seriously ill.

March 8, 2017

Obstacles On The Road To Risk

A recent survey of American Medical Group Association members showed that health systems across the nation still see the destination called value as a distant sign still ahead of us.

February 15, 2017

The Changing Payment Landscape Of Current CMS Payment Models Foreshadows Future Plans

To understand the bigger picture of how CMS is driving change, one must zoom out from the program-level and evaluate the tapestry of CMS models and initiatives in their entirety.

February 3, 2017

A Look Forward To Health Care In 2017: Top Five Trends

With an eagerness for change, health care is in flux, and difficult decisions will need to be made that will directly affect Americans both socially and economically.

February 1, 2017

Medicare Physician Payment: Why It’s Still A Problem, And What To Do Now

MACRA is indeed better than what came before, but it still leaves in place perverse incentives that threaten to undermine quality and access for Medicare beneficiaries.

January 27, 2017

Building A System That Works: The Future Of Health Care

As the Obama Administration comes to a close, this piece lays out my vision for the future of health care. I share the steps we have taken to change how we pay for health care, incentivize coordination, and unlock health care data.

December 12, 2016

Rewarding Provider Performance: Ten Years In

Ten years ago, the Institute of Medicine released a report reflecting the work of an IOM subcommittee that Robert Reischauer and I co-chaired. Ten years later, the country is further along this path, but we are still relatively early in the process.

December 6, 2016