Friday, July 22, 2016


The latest government acronym that will increase your medical cost and lower your quality of service is MACRA, The Medicare Access and CHIP Reauthorization Act of 2015. It was signed into law over a year ago and is the “law of the land” now with overwhelming bipartisan support in Congress and with much lobbying and cheerleading from medical associations. Obama even joked about having Republicans on board.  And MACRA is very lengthy and very detailed legislation. 962 pages. Does your doctor have time to read it? Efficient, quantifiable, homogenized, controlled and dehumanized. We might get a Drexit.

"As many as 58 percent of surveyed physicians would opt to join a larger organization to mitigate individual risk and have access to a greater array of resources. Eighty percent saw physician consolidation as an inevitability under MACRA, with half of physicians viewing financial pressures as the top driver of consolidation."  I suspect this is the true purpose of MACRA.  No independent doctors.

The list of suggestions for change looks as long as the legislation.

No comments: