Holy MACRA, I Need Help

This post was contributed by Ezequiel Silva III, MD, FACR, chair of the American College of Radiology Commission on Economics.

Dr. SilvaThe Medicare Access and CHIP Reauthorization Act (MACRA) is the most significant physician payment policy change in more than 25 years. If you woke up this morning saying, “Holy MACRA, I need help,” we understand. And the ACR has your back.

As radiologists we have our own challenges and opportunities with MACRA. While we are a patient-centered specialty, the nature of image interpretation is different from more traditional patient-facing activities. Our range of services is diverse, extending from imaging through interventions to therapy. And, our practice sizes, practice types and practice settings vary considerably.

The good thing is, ACR has invested a great deal of time and effort into addressing these issues and we have a mountain of resources to help you find out what do you need to know. Start with those below.

Understand MACRA

The Centers for Medicare and Medicaid Services (CMS) released the MACRA Final Rule, and ACR reviewed and analyzed the 2,400-page document, posting a radiology-specific summary  to give a better idea of what CMS has actually done and how it may affect you. You should know that the timeline for implementation is short: While the first payment adjustments occur in 2019, the first performance period starts in 2017.

Use Free Resources

Sense the urgency? Numerous other ACR-developed tools and resources—from Be MACRA Ready: A Decision Guide for Radiologists to webinars and informational articles—can be found in the Be MACRA Ready section on the ACR website.

Read JACR Special Collection

Additionally, the Journal of the American College of Radiology (JACR) offers a new special collection of MACRA-related articles, which will aid you as we shift from the volume-driven care of traditional fee-for-service to a value-driven payment system. Hear from some of our MACRA experts on payment models, a roadmap for value-based payments and the importance of registry participation.

Payment policy, health care and the quality of care we provide to patients are transforming before our eyes. Get the help you need and be MACRA ready.

  • How are you and your practice getting ready for value-based care?
  • What ACR resources did you find most beneficial?

Please share your thoughts in the comments section below and join the discussion on Engage (login required).

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