MACRA, what's that? Half of doctors don't know, Deloitte says

Nearly 8 in 10 physicians in a new survey said they prefer fee-for-service over risk-bearing, value-based care under the Medicare Access and CHIP Reauthorization Act of 2015.
By Bill Siwicki
12:17 PM

Nearly half of U.S. physicians are unfamiliar with the Medicare Access and CHIP Reauthorization Act of 2015, also known as MACRA, according to a new survey of 600 doctors by research and consulting giant Deloitte. But those willing to participate in alternative payment models are more prone to see them as advantageous.

MACRA is expected to drive care delivery and payment reform across the U.S. healthcare system for the foreseeable future, Deloitte said. Congress intended MACRA to be a transformative law that constructs a new, fast-speed highway to transport the healthcare system from its traditional fee-for-service payment model to new risk-bearing, coordinated care models, Deloitte added.

Many healthcare experts agree that MACRA has the potential to be a game-changer.

After a brief explanation of MACRA for those physicians unfamiliar, however, nearly 8 in 10 said they prefer fee-for-service or salary as compensation compared with risk-bearing, value-based care. What’s more, 58 percent indicated a willingness to be part of a larger organization to diminish individual physician risk or to have access to a full spectrum of resources and capabilities as a result of the need for physicians to bear increased financial risk. And 80 percent expect MACRA to drive physicians to join larger organizations or networks.

And among those unwilling to participate only 9 percent believe MACRA will reduce costs, while a mere 5 percent expect it to improve care delivery.  

Doctors willing to participate in alternative payment models, on the other hand, are more likely to view them as having the potential to reduce costs and improve care quality, according to Deloitte’s report, titled “2016 Survey of U.S. Physicians.”

The firm said that 23 percent of physicians who are willing to participate in value-based payment models indicated that MACRA would reduce costs, and 19 percent indicated the law would improve quality and 47 percent believe the models can improve the performance of the healthcare system. 

Twitter: @SiwickiHealthIT
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