With the final rule on the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) released by CMS in October 2016 and the rule going into effect in CY 2017, healthcare providers are now tasked with the readiness and implementation plan to meet the parameters of the Merit-Based Incentive Payment System (MIPS) and the Advanced Alternative Payment Models (APMs). The Department of Health and Human Services (HHS), in collaboration with partners in the private, public, and non-profit sectors, launched the Healthcare Learning and Action Network (LAN), to assist in advancing the adoption of value-based healthcare and alternative payment models. As part of this effort, the LAN developed an APM framework that categorizes the transition from fee-for-service to population-based quality care.
I recall a couple of years ago walking through the aisles at the mHealth Summit in Washington D.C., I was amazed at all the different exhibitors (181 listed in the program guide) many of whom were selling (in their words) the next great solution that would revolutionize health care. I’m sure some of them did have great products, but as I explored further, I found many offered a very niche solution, which failed to demonstrate how they’d have a revolutionary impact. Many of the vague or flimsy solutions suggested mHealth was just the latest rage, and companies were simply trying to get something out there to attract market attention.
The health care industry is in transition and because of this, new leadership styles need to be implemented to effectively lead and manage in this new paradigm. With the introduction of new laws, regulations, care coordination and payment models, health care providers need to adjust not only how they treat patients, but also how they work together. Long established leadership beliefs may need to change for physicians and other health care professionals as a team based approach becomes more necessary to be effective.