Posted March 28, 2017
The death of the American Health Care Act (AHCA) has been greatly exaggerated — not because it is likely to be revived but because it might never have been alive in the first place. Many of the provisions of the bill were unlikely to survive contact with the Senate. There was also a very strong chance that the bill released from a House–Senate conference would have radically differed from the AHCA. What’s next is anyone’s guess, with the next “deadline” being the 2018 mid-term elections. The best strategy for Republicans may be to hope Obamacare implodes and use its problems as campaign material. However, hospitals are happy with the failure of ACHA because there will be less bad debt. Shares of hospital stocks rose last Friday: HCA nearly 4%, Tenet Healthcare 7%, and Universal Health Services 3%. Physicians reliant on Medicaid reimbursement can breathe a sigh of relief. For most physicians who don’t have Medicaid patients, the shift to value-based reimbursement will continue. Here’s our forecast on how reform will affect independent physicians in 2017 and beyond.
MACRA Physician Payment Reform Is Here to Stay
The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) isn’t going anywhere. There are three key reasons why MACRA will and should proceed as planned, regardless of Obamacare's possibe repeal in the future: