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Health Information Exchange & Interoperability Resource Sets
Relevance of HIE to MACRA
HITEQ Center

Relevance of HIE to MACRA

The Impact on Health Centers

In this brief, we describe the relationship between new federal legislation regarding physician payment and the exchange among organizations of health information. For many years, Medicare has paid physicians on the basis of a resource-based relative value scale. This approach has led to increases in resource utilization and inappropriate care rather than rewarding physicians on the basis of quality of care and patient outcomes.

It has resulted in steadily increasing physician fees, which the government attempted to control by implementing the Medicare sustainable growth rate (SGR). SGR slowed the increase and could even result in decreased in physician reimbursement. There has been a need to address these issues and to provide incentives which might lead to greater value to patients and fairer physician Medicare reimbursement.

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Acknowledgements

This resource collection was compiled by the HITEQ staff with portions contributed by Mr. Dan Tuteur, the Colorado RHIO, OCHIN, and the Sequoia Project.

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A Conceptual Framework

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