Understanding the impact of 'cost' under MACRA: a neurointerventional imperative!. (23rd July 2018)

• Record Type: Journal Article
• Authors: Spilberg, Gabriela; Nicola, Gregory N; Rosenkrantz, Andrew B; Silva III, Ezequiel; Schirmer, Clemens M; Ghoshhajra, Brian B; Choradia, Nirmal; Do, Rose; Hirsch, Joshua A
• Is Part Of: Journal of neurointerventional surgery. Volume 10:Number 10(2018)
• Page Start: 1005
• Page End: 1011
• Publication Date: 2018-07-23
• Subjects: socioeconomics -- health care policy -- MACRA -- QPP; Nervous system -- Surgery -- Periodicals; Cerebrovascular disease -- Surgery -- Periodicals; 617.48
• DOI: 10.1136/neurintsurg-2018-013972
• Languages: English
• ISSNs: 1759-8478

Abstract

Abstract : The cost of providing healthcare in the United States continues to rise. The Affordable Care Act created systems to test value-based alternative payments models. Traditionally, procedure-based specialists such as neurointerventionalists have largely functioned in, and are thus familiar with, the traditional Fee for Service system. Administrative charge data would suggest that neurointerventional surgery is an expensive specialty. The Medicare Access and CHIP Reauthorization Act consolidated pre-existing federal performance programs in the Merit-based Incentive Payments System (MIPS), including a performance category called 'cost'. Understanding cost as a dimension that contributes to the value of care delivered is critical for succeeding in MIPS and offers a meaningful route for favorably bending the cost curve.