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10/21/2017 Ron Freireich, DPM
MedPAC Urges Repealing MIPS (Jeffrey Lehrman, DPM)
Thank you for your response Dr. Lehrman, however you have completely missed the major point of my posts. I appreciate the timeline of MACRA that you spelled out, but my posts had nothing to do with that. Regarding your comment about the time I spent “crafting” my posts not making a difference, you’re right, it didn’t because you failed to even mention the MedPAC report in your response which is what my posts were all about.
I never mentioned the lack of any medical association, including APMA not speaking out or lobbying against MACRA. That is in the past. My posts had to do with the present, which is MedPAC’s June, 2017 report to Congress . It was only six short months into MACRA when MedPAC came out with their report which stated in part“MIPS as presently designed is unlikely to help beneficiaries choose clinicians, help clinicians change practice patterns to improve value or help the Medicare program reward clinicians based on value,”.
I’m still shocked that there has been no response that I know of, to the commission’s report from any medical association. How much of tax payer’s money went into creating the 2,398 pages of MACRA, not to mention, the thousands of hours that the APMA MACRA Task Force put into educating its members and the hundreds of hours and money physicians spent to implement MACRA into their practices, only to have MedPAC recommend to repeal and replace MACRA. Doesn't that anger you?
Regarding your recommendation to contact my Representatives and Senators, that’s my point. A response regarding this debacle should be much bigger and come from our national associations, not from a few individual members who will never be seen or heard.
In your last paragraph, you state “Now that MACRA is here” which is ironic because according to MedPAC it shouldn’t be, you suggest some actions I can take; however, I’m currently already meeting all the measures through my EMR system.
Lastly, I do appreciate all that APMA does which is why I have been a member for the past 30 years and I do plan on contacting Dr. Deheer as you suggested. Additionally, I don’t assume that those who teach others about MACRA approve of it, but I would assume that at least the members of the APMA MACRA Task Force after all their time and effort, if not the entire medical profession, would demand some answers from Congress who voted in favor of MACRA.
Ron Freireich, DPM Cleveland, OH
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