MACRA isn't just payment, it's fundamental change.
The Fundamental Change
Many healthcare stakeholders are understandably concerned about the long-talked-about-but-finally-happening shift to value-based care. Value-based care in all its forms — from the baby steps represented by bundled payments for specific procedures to MACRA’s Merit-based Incentive Payment System (MIPS) formulas to fully capitated, population health — represents fundamental change. And because specialties — with their costs and risks — represent the first wave of reform, the initial change will be that much more complex.
Since payment models for providers will change, care delivery will naturally change, too. Thus, hospitals and health systems must plan for change in multiple dimensions if they are to successfully transition to this new world.