MACRA

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    This important change to US Healthcare funding is the Medicare Access and CHIP Reauthorisation Act 2015 (MACRA)
    This relats to how Hospitals and Physicians are to be remunerated for their services. This reform dates from the latter years of the Obama administration and is currently in operation in the USA. It started Jan 1 2017.

    Value based Remuneration is replacing the traditional Fee For Service. Fee for Service has resulted in hospitals and physicians having no monetaty incentive to change their methodology and has resulted in INERTIA and indifference towards equipping medical facilities for new challenges.


    Alternative payment methodologies are being  put in place to deliver   high-quality, cost-effective care.

    Already the reality of hospital based infection is well recognised. Physicians and hospitals who fail to reduce the incidence of infection   will be penalised through reduced reimbursement. There are already quite a few websites reporting hospital infection rates like the MySchool website here.
    A budget amount of nearly a $1B USD is being put in place to penalise and reward medical facilities.

    To me this great news for NAN. They are the gold standard  for Sonography HLD .
 
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