If Medicare wants value, it should cancel MACRA

From the CMS website, October 30, 2017, “Today, Centers for Medicare & Medicaid Services (CMS) Administrator Seema Verma discussed the agency’s efforts to streamline quality measures, reduce regulatory burden, and promote innovation … We need to move from fee-for-service to a system that pays for value and quality — but how we define value and quality today is a problem. We all know it: Clinicians and hospitals have to report an array of measures to different payers. There are many steps involved in submitting them, taking time away from patients. Moreover, it’s not clear whether all of these measures are actually improving patient care.”

Then cancel MACRA, Ms. Verma. You’ve just admitted it’s a bad plan. Cancel it while there’s still time.

MACRA, for those who don’t know about it yet, is the next way that the federal government is going to ruin health care. It’s another layer of senseless rules, data collection, and more rules—this time based on the new fad known as “value-based payment.” This new form of government excess is an amalgam of every failed attempt to do the exact same thing in the past. It didn’t work then, and it won’t work now. Here’s why.

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