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Hospital-Physician Gainsharing: Post-MACRA Opportunities Remain
April 18 @ 12:00 pmFree
Florida Healthcare Law Firm Attorney Dave Davidson will present this live lunch n’ learn webinar for attendees. With 22 years experience as in house counsel for a large integrated health care system, Dave provides expert health law advice for a broad range of health system structures, including both for profit and not for profit models and tax districts.
More on MACRA’s impact here:
The Centers for Medicare and Medicaid Services (CMS) uses the Medicare Physician Fee Schedule (PFS) to determine how to reimburse physicians for their services. Under the PFS, Medicare considers various elements including the work the physician put in, the expenses incurred in providing care, the cost of malpractice insurance, and geographic differences in wages to calculate how much physicians should be paid for their service. This system has been in place since 1992.
In 2015, a bipartisan Congress passed The Medicare Access and CHIP Reauthorization Act (MACRA), which makes sweeping changes to how Medicare makes the calculations for the PFS and other provider fee schedules. Under MACRA, participating providers are paid based on the quality and effectiveness of the care they provide. This new system, called the Quality Payment Program (QPP), is made up of two tracks in which providers will be placed based on the characteristics of their practice.