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MACRA final rule could hit healthcare industry hard

tracey walker | managed healthcare executive | 11 may 2016 

PA's Nilesh Chandra, healthcare expert, is quoted in an article in Managed Healthcare Executive. The article discusses the key takeaways of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) final rule proposal and its impact on the industry. 

Commenting on this topic, Nilesh said: “Since the Affordable Care Act, there has been a marked increase in private payers also pursuing bundled and other alternative payment models. Similarly, we expect other health plans to adopt some of the quality measures and increase the emphasis on quality in their reimbursement and incentive programs.”

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Nilesh continued: “This new model offers a simplified reporting structure by consolidating / sun-setting a multitude of incentive programs and reporting options into just two. In the past, a common challenge for providers was that the entire reporting framework was very confusing, it seems this will be alleviated to an extent.

Nilesh went on to say: Individual providers also have greater flexibility in choosing the set of measures they report against, based on their specialization and the unique circumstances in which they practice. 

Nilesh concluded: “Thus the model is more flexible, rather than adopting a ‘one-size-fits all’ approach in the past.”

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