decisionhealth Newsletters, Part B News - 2018 Issue 10 (October)
No end in sight for increasing regulatory burden as practices adapt to new normal
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Article Overview
This article summarizes a Medical Group Management Association survey about increasing regulatory burden in physician practices and the operational strain it creates. It focuses on broad policy and practice-management issues tied to Medicare and commercial payer requirements, quality reporting, payment reform programs, prior authorization, electronic health records, and CMS efforts to reduce administrative burden. The piece is aimed at practice administrators, physicians, compliance leaders, and revenue cycle or health information management professionals who need to understand current regulatory pressures and planning considerations.
Why This Topic Matters
Understanding where administrative burden is increasing helps practices anticipate staffing needs, compliance demands, technology challenges, and participation decisions in federal payment programs. The article is relevant to organizations trying to adapt workflows and resource planning in a more demanding regulatory environment.
Article Sections
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Survey findings on increasing regulatory burden
Summarizes the reported rise in administrative and compliance pressure across medical practices and how respondents characterized the current environment.
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Value-based care and payment program challenges
Discusses broader reactions to value-based payment initiatives and the operational strain associated with federal quality and payment programs.
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Burden reduction in the spotlight
Covers CMS attention to administrative simplification efforts and the policy discussion around reducing paperwork and documentation demands.
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3 tips to thrive
Outlines general practice-management strategies for adapting to a higher-regulation environment and preparing for ongoing compliance demands.
What You Will Learn
- How regulatory burden is affecting medical practices at a high level
- Which broad administrative issues are driving concern in practice operations
- How federal payment and quality programs are shaping practice management priorities
- What kinds of organizational responses practices are considering
- How CMS efforts to reduce burden fit into the broader policy discussion
Who Should Read This
- Physician practices
- Practice administrators
- Medical group management professionals
- Compliance staff
- Health information management professionals
- Revenue cycle leaders
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