It’s been five years since the first Pioneer Medicare Accountable Care Organizations (ACOs) formed, marking the beginning of Medicare payment reform and now one year of the Quality Payment Program (QPP) is up. So, how are we doing? And what can we still learn as it rolls out? The QPP was created to implement Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) and if we’ve learned anything in the first year, it is that practices need support to make the changes needed to be successful. I want to highlight three recent articles that have given me pause and can give us direction for our efforts on the path from volume to value.
In the past quarter, a few interesting reports on MACRA and QPP have been published, framing the current status of provider participation, understanding, and potential impact of payment reform. Two reports take a pulse of American physicians. First, the American Academy of Family Physicians (AAFP) self-report Annual Member Survey of 2017 looked at member family physicians and found that 83 percent of reporters take Medicare patients, a record high in the last decade for family docs, yet only 50 percent consider themselves “somewhat-to-very-aware” of QPP/MACRA. And earlier this year, 45 percent reported being “undecided” on their plan to participate in MIPS or APMS.