The American Health Care Act has been pulled from consideration, which may cheer up some practices that were concerned about possible changes and ramifications of the bill. However, there are still several other trends in 2017 that will affect practices more immediately than any other health care reform legislation that may happen this year. For practices to truly thrive in 2017 and beyond, providers and practice managers must consider additional trends and address these topics sooner rather than later.

While we are already well into 2017, the health care industry is still being affected by trends and events from last year. These trends from 2016 could pose new challenges for practices, but could also create revenue and patient-volume growth opportunities in 2017 and in the future.

What is Direct Messaging? Direct Messaging is an integrated feature of Nextech, offered by our third-party partner Secure Exchange Solutions (SES). Secure Exchange Solutions is part of the Direct Trust Bundle, which is wrapped up in the MACRA requirements for interoperability. In Stage 2 of Meaningful Use, we saw the introduction of the Health Information Exchange requirement. Modified Stage 2 brought further implementation of the measure, requiring that a patient’s summary of care be sent electronically 10% of the time for all transitions of care, however eligible providers (EP’s) could be excluded if they transitioned less than 100 patients out of their care in the given reporting period. Moving forward under MACRA, the emphasis is no longer on meeting a specific threshold, but rather, encourages eligible clinicians (EC’s) to utilize the functionality for Health Information Exchange as much as possible.

While the implementation of the Quality Payment Program (QPP) within the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) may seem daunting, the program does offer some data capture and reporting relief to practices. MACRA takes elements from three existing Centers for Medicare and Medicaid Services’ (CMS) programs—the Physician Quality Report System (PQRS), the Electronic Health Record Incentive Program (commonly known as Meaningful Use or MU) and the Value-Based Modifier (VBM)—and consolidates them to one QPP avenue: the Merit-based Incentive Payment System (MIPS). This means that practices have less overall data to capture, track and report.

Plastic Surgery practices, especially those focused on cosmetic procedures, understand the effect patient engagement can have on practice growth. Due to the shift in demand from reconstructive to elective treatments, which results in increased patient out-of-pocket spending, cosmetic surgery practices must ensure a positive patient experience in order to increase retention and referrals. According to a British study, a better patient experience is associated with increased engagement and clinical efficacy.

Ready or not, the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) Quality Payment Program (QPP) and its associated financial incentives and penalties start next year. Unlike previous pay-for-performance programs, the Centers for Medicare and Medicaid Services (CMS) has done away with “all or nothing” rules for earning payment adjustments with the QPP’s Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (APM).

The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) is a major piece of legislation that contains two value-based care programs that will affect nearly all physicians: the Merit-based Incentive Payment System (MIPS) and the Advanced Alternative Payment Models (APM).

Everyone has heard the buzz about MACRA, but it seems there may be more questions than answers as the new year approaches. Below are the answers to four of the most frequently asked questions about MACRA.