MACRA

See the following -

Black Book Research Warns Gov. Regs and Lousy EHRs are Driving Independent Medical Practices into Extinction

Press Release | Black Book Market Research | June 13, 2016

Two-thirds of independent practices now deliberately selling out to hospital systems and larger groups or closing down by 2019 as the resource-intensive requirements of MIPS, administrative burdens, and under-optimized technology may make the transition to value-based care too discouraging...Despite small practice education, training and technical assistance programs promised from CMS to help onboard physicians with the MACRA programs, 89% of the remaining solo practices expect to minimize Medicare volumes as to not be required to submit reports for the quality and clinical practice improvement activities or report in the cost performance category.

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EHR Usability Gaps -- ONC and AHRQ Identify Serious Shortcomings of Certified EHRs

The Health Information Technology for Economic and Clinical Health (HITECH) Act provided providers with a significant financial incentive to increase the adoption and use of EHRs. EHR vendors were required to conduct and report on a summative usability evaluation of their system as part of the Stage 2 Meaningful Use program (The ONC 2014 Edition Certification). However, a recent report funded by the Agency for Healthcare Research and Quality (AHRQ), identified several “issues” with the certified EHR vendors in the processes, practices and use of standards and best practices with regard to usability and human factors.

Halamka's Dispatch from HIMSS

Every year I walk the HIMSS floor and speak at HIMSS events with the hope that I can distill the conference sensory overload into a few key themes. In the recent past, big data, interoperability, personalized medicine, population health, and wearables were buzzwords in every booth. This year, the buzzwords were replaced by one overarching concept - providers and vendors must innovate or die. In the next 24 months we’ll see an accelerating evolution of fee for service into alternative payment models fueled by MACRA and MIPS

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Halamka's Next Steps for the National Healthcare IT agenda

At HIMSS, I listened carefully to payers, providers, patients, developers, and researchers. Below is a distillation of what I heard from thousands of stakeholders. It is not partisan and does not criticize the work of any person in industry, government or academia. It reflects the lessons learned from the past 20 years of healthcare IT implementation and policymaking. Knowing where we are now and where we want to be, here are 10 guiding principles.

How MACRA Will Decimate the Private Practice Physician

Niran S. Al-Agba, MD | KevinMD.com | July 20, 2016

Small, independent private practices are closing, increasing numbers of physicians are retiring, and fewer medical school graduates are choosing primary care.  The old-fashioned practice my father and I have built is a dying entity.  Parents say coming to see us for an appointment feels more like a visit with a friend than a medical encounter.  I am fighting for the survival of primary care practices.  MACRA proposed reimbursement will decimate rural care as we know it...

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OpenEMR Achieves Complete Meaningful Use Certification with Breakthrough Release 5.0

Press Release | OpenEMR, OEMR | March 1, 2017

OpenEMR, the most popular open source electronic health records (EHR) and medical practice management solution, has announced today that OpenEMR version 5.0 has achieved Complete ONC certification, through Infogard.  This certification is vital for medical practices in the U.S. to comply with MACRA and participate in Medicare's Quality Payment Program. The Complete Meaningful Use Certification was the result of a community effort that spanned several years, involving over $200,000 in effort and code contributions. Read More »