Although the Centers for Medicare and Medicaid Services (CMS) relaxed regulations regarding the first year of participation in MACRA, many providers are still unprepared for changes that will occur when it goes into full effect next year.
In a recent survey of more than 2,000 providers published by Healthcare Informatics, 43% said they need assistance with the implementation of MACRA, 30% said they were still not prepared while 27% said they were ready to go.
CMS has committed $100 million over five years to help smaller practices cope with MACRA changes. However, it is not clear that will be enough. It is also not clear whether the federal government will move forward with value-based reimbursement under President Donald Trump.
In fact, there is some reason to believe the Trump administration will likely take a more tentative approach with value-based care, given CMS recently announced that it would delay expansion of bundled payment initiatives.