The
Affordable Care Act (Obamacare) has been very bad for small practices
and especially small rural practices, thus the mad rush to integrate
with hospitals and networks.
The recent
publication of the MACRA regulations, a massive and complex pile of
over-regulation, has put small and small/rural practices in even
greater jeopardy.
Apparently
DHHS realizes this problem, because a new program spending $100
million over five years will attempt to fix mitigate the damages.
(Small is
15 clinicians or fewer, which presumably eliminates many practices in
integrated settings.)
The most
remarkable use of the money is “..... the
funding would support small practices by helping them think
...” presumably about the mess created by ACA and MACRA and
how to survive.
In order to
survive small practices are going to need very very sophisticated
management and very sophisticated EMR and data analytic capabilities.
How will that happen?
Link to
announcement:
