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A 2016 study by Researchers at Weill Cornell Medical College and the Medical Group Management Association found that physicians and their staff spend between 6 and 12 hours per week processing and reporting quality metrics to the government – at a cost of $15.4 billion a year.
As a recent Health Catalyst MACRA survey confirms, that burden is expected to significantly worsen in 2017 and beyond as physicians struggle to report quality metrics for the Medicare Access & CHIP Reauthorization Act (MACRA) – the federal law that changes the way Medicare pays doctors. Commercial health insurers are expected to follow the government’s lead with similar programs of their own. In complex organizations, successfully achieving performance targets and submitting accurately for MACRA incentives will require integrating multiple measures across financial, regulatory and quality departments.
To help identify and align healthcare organizations’ selection of the MACRA quality measures, Health Catalyst® today announced the release of MACRA Measures & Insights™ Built on an industry-leading data and analytics platform integrating over 120 data sources including claims and all major EMRs, the new application helps healthcare organizations track and monitor all MACRA measures across multiple departments.
Moreover, with MACRA Measures & Insights, organizations for the first time can quickly spot areas where their physicians are performing best, and therefor which quality measures to report to Medicare to maximize payment under MACRA.
Register here: http://bit.ly/2lhvpjM
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Patients and physicians will suffer from MACRA regulatory burdens. This post is selling snake oil. The only individuals in favor of MACRA are those who stand to financially benefit from it. I wonder why that is?
Time spent on MACRA is time away from treating patients.
I begin with a transparency bias. I retired last October as a Primary Physician for 40 years. There were several issues involved, only one involving MACRA.
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Lets all agree that a . CARING RELATIONSHIP . between a ‘provider’ and each person is necessary to achieve quality outcomes for healthcare. These outcomes should characterize this healthcare as equitably available, ecologically accessible, justly efficient and reliably effective. That said, here is the question. “What are the working conditions for a physician and their support team that will contribute to each citizen’s healthcare that is mediated by a CARING RELATIONSHIP, defined as follows:
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.a variably symmetric interaction occurring between two persons
……who share a beneficent intent over time
.to enhance each other’s autonomy by communicating
……with warmth, non-critical acceptance, honesty and empathy?”
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The industrialization of healthcare has, slowly but surely, diminished this attribute that is most closely related to its long-term reliability and efficiency. Nearly 60 years ago Baron C.P. Snow said: “I believe the world is increasingly in danger of becoming split into groups which cannot communicate with each other, which no longer think of each other as members of the same species.” You might assume that he was referring to the geopolitical divisions within our current world-wide community. This view would not represent his original intent. On May 7, 1959, Baron Snow gave a lecture at the Senate House located on the University of Cambridge campus in Cambridge, England.
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He described his view that a communication gap was evolving between the realm of knowledge pertaining to the ‘sciences’ and the realm of knowledge pertaining to the ‘humanities.’ It is likely that this represents the ‘root cause’ of ‘root causes’ for the Paradigm Paralysis afflicting our nation’s healthcare. It will not be resolved without a nationally sponsored, semi-autonomous institution with a ‘new strategy’ to initiate healthcare reform, community by community. The new institution would be prohibited from being involved in the actual provision of health care or its economic funding.
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To focus the national, institutional priorities for our nation’s healthcare at the community level, its . GOALs . will require a national perspective: reduce the cost of healthcare as a portion of our nation’s economy by at least 25% and reduce our nation’s maternal mortality ratio by at least 75%. The ‘autonomy’ of our nation within the world-wide community is at stake, as in its market-places for . RESOURCES . KNOWLEDGE . and . HUMAN DIGNITY.
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The community by community focus would be the best means to promote locally sustained and enhanced Primary Healthcare for promoting caring relationships as the basis for each citizen’s health care. The national institution would resolve the funding issues of quality Primary Healthcare as offered by the currently constituted local institutions. The local involvement would also promote its role in promoting their own accommodation of healthcare adversities affecting their . HEALTH.
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http://www.nationalhealthusa.net/rationale/ Note: it represents one strategy for the implementation of a new strategy.