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: