Steven lash shared info on Physician Payment in the Post-SGR Era

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Steven lash
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Physician Payment in the Post-SGR Era 

• Legislation called the Medicare Access and CHIP
  Reauthorization Act (MACRA) passed earlier this
  year (2015) has already made fundamental changes
  to the way physicians are reimbursed by Medicare
  and will continue to reshape physician
  reimbursement to 2026 and beyond. The
  high-stakes legislative battles of the past
  several years over the doc fix and annual
  updates is over as a new physician payment system
  has been defined
• Steven Lash, noted healthcare strategic advisor
  said As a result of MACRA, from July 2015
  through 2019, physicians will be guaranteed a
  0.5 update. From January 2020 through 2025, the
  law includes a zero percent update but, some
  providers will get annual bonuses and others will
  get annual awards or penalties.

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Steven Lash continued his comments adding that
there are 2 new questions that will need to be
answered.

• How can physicians avoid the 4-9 cuts to
  reimbursement which could be imposed beginning in
  2019 under Medicares new pay-for-performance
  system?
• How can physicians get exempted from the new
  pay-for-performance system altogether and lock-in
  annual bonuses of 5 per year starting in 2019?

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• The legislation provides the broad answer to
  these questions Physicians must begin to
  participate in alternative value-based payment
  models. What those models will be is
  substantially to be determined.
• Already, MACRA has replaced the 20 cut to
  physician reimbursement threatened by the SGR
  (Sustainable Growth Rate) with more-or-less
  status quo updates annually beginning in 2015 and
  running through 2019 to be followed by an update
  freeze through 2025.
• Between now and 2019, several new and existing
  entities have been tasked with answering the two
  questions above what will the new
  pay-for-performance system look like and how can
  physicians opt out of it and into a bonus-based
  alternative?

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Thank YouSteven Lash