decisionhealth Newsletters, Coder Pink Sheets - 2015 Issue 6 (June)
SGR repeal a benefit but H.R. 2’s cost, reporting provisions cause concern
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Article Overview
This article reviews how physicians and practice leaders viewed the Medicare Access and CHIP Reauthorization Act of 2015 and its broader shift away from the sustainable growth rate formula. It covers the reporting and payment framework changes tied to quality measurement, alternative payment models, and the implementation outlook for ICD-10. The piece is relevant to practices evaluating operational impact, participation decisions, and preparation for upcoming Medicare payment changes.
Why This Topic Matters
The article helps practices gauge how federal Medicare payment reform and reporting consolidation may affect operations, participation planning, and revenue strategy. It also places ICD-10 readiness in the context of broader payment policy changes, which is important for physicians, coders, compliance staff, and administrators.
Article Sections
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Survey response and payment-reform reaction
Introduces physician sentiment about the new Medicare legislation and the anticipated effect of phased payment changes. It frames the overall reactions from practices to the law’s broader direction.
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Impact on your reporting systems
Covers the consolidation of major quality reporting programs into a single framework and summarizes practice opinions about operational impact. It also discusses participation concerns and the expected consequences for non-participation.
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Evaluate value-based payment models
Addresses alternative payment models and the broader shift toward value-based reimbursement. It summarizes how respondents viewed these models and why they may matter to practice finances.
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Eyeing ICD-10 delays: A favorable omission?
Discusses physician reactions to the absence of ICD-10 delay action in the law and the practical implications for preparation timing. It also notes how respondents viewed readiness for the planned transition.
What You Will Learn
- How physicians and practices viewed the Medicare payment reform legislation overall
- How quality reporting programs were being consolidated under the new framework
- How alternative payment models were being positioned within Medicare reform
- How practices were thinking about ICD-10 timing and preparation
- Why the law’s operational and financial effects were generating concern among respondents
Who Should Read This
- Physician practices
- Practice administrators
- Medical coders
- Compliance staff
- Revenue cycle professionals
- Healthcare policy readers
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