JamesLHollyMD.com

	James L. Holly, M.D.

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Presentations - Additional Thoughts about HIMSS Presentation on MACRA and MIPS

Addition to Slide I

I have nothing to sell and nothing to disclose except, I want to sell:

A passion for excellence
A commitment to healthcare transformation

Addition to Slide 17

The reality is that with MACRA and MIPS, a bonus is paid to one only if a penalty is assessed to another. This make healthcare a “zero sum game” where for there to be a winner, there must be a loser. I object to that. I would like it to be the case where the system is designed to where everyone can be a winner.

I would like to find the people who are in the lower, left hand quadrant of the scatter graph. This means that they have low quality and high cost. I suspect these are not bad people. I would like to have the opportunity to work with them to see them improve their quality and decrease their cost.

Addition to Slide 18

Medicare Advantage is not considered an Alternative Payment Model but it does have global risk. Over half our practice is MA and we have 100% global risk. I understand why it is not included as an APM but I think it should be.

Addition to slide 25

It often seems as if those who provide care to the most vulnerable and the neediest of our citizens, those who are most socially responsible, are in fact the ones being punished by CMS and HHS. Those who refuse to care for Medicare or Medicaid are free, it seems, to make a fortune without interference from anyone. That does not seem like a plan which will work in the long run.

Related Presentations

	SETMA’s Approach to MACRA and MIPS

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