Staying Independent...Together

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   RE: MACRA
 From: Michael Barron
 To: Member Forum
 Posted: 10-18-2017 09:54
 Message:

Most of my Medicare patients are in Medicare Advantage plans where the quality measures are more straightforward and there is no MU/ACI requirement.  I have less than 100 straight Medicare patients so I'm exempt from the penalties. 

Nationwide, patients are apparently shifting to the Medicare Advantage plans, particularly where there is no additional monthly premium.  Even for patients with Medicaid plus a spend-down MA is a good idea.

If there are opportunities to participate in an MA plan, the IMP model works quite well, particularly if risk-based or shared savings contracts are available.  I was not able to access these as an individual but through an IPA.  In these situations anyone with more than 100 patients is in a reasonable position to make money.  Some IPAs will cover the downside for the initial 1-2 years until the panel gets big enough.

Mike


------Original Message------

That certainly sounds easy enough (SRA) , but I am afraid that there are 4 mandatory components of ACI that need to be completed including SRA.  The clinical, for me, is reported by the ACO I am a member of.  That covers the Quality Improvement.  Its the ACI (formerly known as MU) that is throwing me a hook, primarily the electronic exchange of a CCDA Clinical Summary

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Kathleen Saradarian, MD
Branchville, NJ
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