Large health care systems aren’t naturally better at those tasks. They’re better because they can hire expensive legal counsel, pay for specialized training, and allocate dedicated staff to master the ins and outs of the program. They have money and resources. Small practices don’t, so they can’t make these huge investments to get the most out of the program. MACRA, like many other government programs, wanted to promote meritocracy—to have the rewards go to the most deserving, the providers who contribute the most to the overall health of our society. But because evaluating merit involved such
...more
