By now, most healthcare organizations recognize the potential for significant change in operations due to the Medicare Access and CHIP Reauthorization Act (MACRA).[i] Organizations will be assigned to either the Merit-Based Incentive Payment System (MIPS) or Alternative Payment Model (APM) tracks. That said, many report they are not ready for the changes and are evaluating consolidation opportunities since it is likely that providers in solo or small practices may receive negative payment adjustments due to the complexity of reporting.
MACRA isn’t the only concern healthcare organizations face in 2017. Both healthcare providers and payers have standalone data silos of systems and applications as well as infrastructure, putting cybersecurity at the top of their list of risks.[ii] Data governance is also needed for “real-time clinical, administrative, financial and health device data” to support non-FFS payment models.[iii]
All this, combined with the newly released Draft 2017 Interoperability Standards Advisory released by ONC[iv] means that the New Year will advance with notable uncertainty, both Regulatory and Political.
Take your holiday break to rest and relax; 2017 will be a busy year.
[i] Son, Yena, and Daniel Kuzmanovich. "Why many group practices are worrying about MACRA shift." Health Data Management. Source Media, 21 Dec. 2016. Web. 24 Dec. 2016.
[ii] Gaynor, Bill. "How Market Changes will Influence data priorities in Healthcare." Health Data Management. Source Media, 22 Dec. 2016. Web. 24 Dec. 2016.
[iv] Slabodkin, Greg. "ONC releases 2017 Interoperability Standards Advisory." Health Data Management. Source Media, 22 Dec. 2016. Web. 24 Dec. 2016.