Tilting Back Toward Independent Medical Practice and What it Might Mean for Hospitals

Guidehouseā€™s Jeff Goldsmith via Modern Healthcare

While the country remained fixated on the fate of Obamacare, HHS, headed by arch-conservative orthopedic surgeon Dr. Tom Price, has been quietly looking for ways to help independent practicing physicians. Recently, the department exempted most practicing physicians from the Merit-based Incentive Payment System reporting requirements of MACRA for 2018. It also markedly reduced the amount of hospitals' 340B subsidies for drug purchases, which had quietly fueled a boom in hospital purchases of medical oncology practices. Finally, the CMS recently ended two mandatory hospital-centric bundling programs that, among other things, conveyed control over physician incomes to hospitals. 

It is possible that this is just the beginning of a campaign to re-advantage independent practitioners at the expense of hospitals, writes Guidehouse’s Jeff Goldsmith in Modern Healthcare.

 

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