Table 2.

MACRA Awareness and Analytic Themes by Practice Ownership, Heart of Virginia Healthcare, 2018 (n = 16)

	Practice Ownership
	Independent	Hospital Owned and Health-System Affiliated
MACRA Awareness	[I8]: “Already reported [MACRA measures].” [I7]: “Well, we’re done with this year. You know, deadline [for MACRA reporting] is passed. We did score the maximum number of points that we could score this year.” [I4]: “Yes, [MACRA reporting is through the advanced payment model], I’m qualified for the bonus payments next year.”	[H2]: “I must admit, I am not as knowledgeable as I probably should be [about MACRA]. I have not delved all that much into the stuff about MIPS and MACRA.” [H5]: “How we are doing [MACRA processes] that is confusing to me, but I do know that that is part of the reason why we have all of these boxes we have to click and document, and reminders, alerts that pop-up.” [H7]: “I hear about it [MACRA] at meetings.” [H8]: “That [MACRA] sounds like, our quality initiatives are based on that.”
Analytic Themes	“Highly involved and knowledgeable”	“Distanced and Bureaucratic”