Table 2.

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

Practice Ownership
IndependentHospital 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”
  • N = 16 (independent = 8; hospital-owned and health system affiliated = 8).

  • MACRA, Medicare Access and CHIP Reauthorization Act.