Opining FP Docs
I couldn’t stop laughing at the title of this article:
FPs Opine on Practice Transformation Network Experience
Good for them. Let these clueless ivory tower idiots opine while Rome burns. The goal?
Responses Will Help Shape Future Projects
Read the article if you want but here is the what one person said:
“We don’t know that information, but it does seem that by joining a network like this, practices are getting some resources that might be difficult to obtain on their own, and they are handed to physicians in an organized way that is tailored somewhat to the practice,” she said.
Getting some resources? Tailored somewhat?
Wow, sounds like another winning program.
How about they FULLY endorse DPC?
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I think I might have actually been one of the doctors opining. I use the PRIME registry through AAFP to help collect MIPS-related info. It actually works pretty well once you get it set up though there is a learning curve, so I probably gave it positive remarks.
I don’t think they asked me what I thought of MIPS and MACRA though, my comments would have been much more negative. MIPS is worse than useless.
“MIPS is worse than useless.”
Serious question: so why do it? If you account for your and your staff’s time at market rates, it’s pretty sure to be a net financial lose.
It’s a good question. Long story short to me it’s financially worth it. Once you get the PRIME set up the quality portion pretty much runs itself. For the improvement activities portion I am in a program where basically I do questionnaires and surveys with CMS, and that part is pretty easy. The trouble I have is with the promoting interoperability portion, and basically I need to sit down and work out a program to meet that better. There is minimal staff time involved, it’s mostly just me.
I am solo and have one PA. We report as a group so any penalties apply to both of us. I had a 4% penalty last year over some EMR issue and it hurt quite a bit. I was seriously considering retiring. 4% off the Medicare payments actually is a lot more than 4% on your net since overhead stays the same. This year I have a 6% Medicare bonus and it makes a big difference.
The underlying trouble of course is the time involved with MIPS is not justified by the improvement in patient care, if any. It’s analogous to MOC in that way. Yeah there’s a little bit of improvement but the method used is too onerous.
So why not go to DPC – I’m in a rural area and the population isn’t here. I don’t want to move to a more populated area, I’d rather just retire if it comes to that.
Thanks.
In one of the rural counties where I work, a superstar blustering, semi-literate county commissioner came up with this gem:
“Don’t know where we gonna go from here, but we gonna go!”
She could have been a Transformation Network lead speaker.