decisionhealth Newsletters, Part B News - 2015 Issue 4 (April)
SGR repeal a benefit but H.R. 2’s cost, reporting provisions cause concern
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Article Overview
This article discusses physician and practice reactions to the Medicare Access and CHIP Reauthorization Act of 2015 and the end of the SGR formula. It focuses on broad concerns and expectations around payment changes, reporting program consolidation, value-based payment models, and the law’s omission of ICD-10 delay, making it relevant to medical practice administrators, physicians, and coding and compliance professionals following Medicare policy changes.
Why This Topic Matters
The article helps readers understand how major Medicare payment reform may affect practice finances, reporting workflows, and readiness for changing quality and coding requirements.
Article Sections
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Sustainable growth rate
Introduces physician reactions to the repeal of the SGR payment formula and the broader Medicare payment framework discussed in the article.
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Impact on your reporting systems
Covers the consolidation of quality reporting programs and the operational concerns practices have about participation and implementation.
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Evaluate value-based payment models
Discusses physician views on alternative payment models and the shift toward value-based reimbursement under the new legislation.
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Eyeing ICD-10 delays: A favorable omission?
Summarizes practice reactions to the law’s lack of ICD-10 delay and the broader implications for preparation and transition planning.
What You Will Learn
- How physicians are reacting to Medicare payment reform at a high level
- What broad reporting changes are being combined under the new quality program
- How practices are viewing value-based payment models
- Why the article connects Medicare policy changes with ICD-10 readiness
Who Should Read This
- Physicians
- Practice administrators
- Medical coders
- Compliance staff
- Revenue cycle professionals
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