November 18, 2016

ood Timing Assists ACR MACR Lectures at RSNA

American College of Radiology (ACR) leaders will present a critical and timely series of four educational sessions on ramifications of the Medicare Access and CHIP Reauthorization Act (MACRA) Nov. 28–30 at the Radiological Society of North American (RSNA) Scientific Assembly.

The program’s organizers, including Ezequiel Silva III, MD, FACR, chairman of the ACR Commission on Economics, believe a sense of urgency about MACRA will grow among radiologists as they move closer to Jan. 1, 2017, the starting date for the first MACRA physician performance period. The final score during the 2017 performance period will affect their Medicare payments.

The ACR-related sessions at the RSNA meeting became potentially even more valuable with the Oct. 14 release of the MACRA final rule, a 2,398-page set of regulations that define how the Centers for Medicare & Medicaid Services will orchestrate its transition to value-based medicine. The rule’s coincidental release just six weeks before the RSNA meeting will enable faculty members to present “brand new, hot-off-the-presses” information that they will translate into practical solutions for rapid implementation, according to Silva.

Each of the following presentations will cover a different aspect of MACRA, now referred to as the Quality Payment Program, and strategies radiologists can use to appropriately respond to this new payment paradigm.

Monday, Nov. 28, 8:30–10 a.m.
MACRA: Radiology Tools for Success

Moderator: Ezequiel Silva III, MD, FACR, San Antonio
Coordinator: Pamela Kassing, Reston, VA
  • Frank J. Rybicki II, MD, PhD, Ottawa, Ontario, Canada
  • Mythreyi Bhargavan-Chatfield, PhD, Reston, VA
  • J. Raymond Geis, MD, Fort Collins, CO (Advises Nuance)
Lectures during this session will define MACRA and how it applies to radiology. Program details will be described, with advice on how radiologists can participate in quality initiatives that pertain to metrics and medical imaging appropriate use.

Tuesday, Nov. 29, 8:30–10 a.m.
Prospering in the Era of Payment Reform

Moderator: James A. Brink, MD, FACR, Boston
  • MACRA Mandates and How to Deal with Them (Ezequiel Silva III, MD, FACR)
  • Involving Patients in Their Radiological Care: Radiological Visibility, Personalized Care and Improving Outcomes (Geraldine McGinty, MD, MBA, FACR)
  • The Radiologist’s Role in Population Health Management: Leveraging Technology for Better Outcomes (James A. Brink, MD, FACR)
Lectures during this session will build on the basics of the Quality Payment Program and the integral role of patient experience and the broader goal of positively impacting population health.

Wednesday, Nov. 30, 10:30 a.m.–Noon
Will MACRA and MIPS Kill Your Practice?

Moderator: David Levin, MD, FACR, Philadelphia
  • Ezequiel Silva III, MD, FACR
  • J. Raymond Geis, MD, Fort Collins, CO
Lectures during this session will objectively ask the question: what are the potential positive and negative impacts of MACRA on practices and how tools can influence these potential outcomes.

Wednesday, Nov. 30, 1:30–4:50 p.m.
Hospital Administrators' Symposium
Positioning Radiology for Success Under the Merit-Based Incentive Payment System

Moderator: Jonathan W. Berlin, MD, Evanston, IL
  • Introduction – Jonathan W. Berlin, MD
  • Positioning Radiology for Success Under the Merit-Based Incentive Payment System (Ezequiel Silva III, MD, FACR)
  • Impact of Alternative Payment Models (APMs) on Radiology (Richard Weil, PhD)
  • Adding Value in APMs: The Case of MRI (Diego R. Martin, MD, PhD)
  • Questions and Answers (the above panel)
  • Five Top Radiology Growth Models and Their Impact on the Physician/Hospital Partnership (Ronald Jackson)
  • Price Transparency in Radiology: What Does It Mean for Hospitals and Radiologists (Mark D. Hiatt, MD, MBA)
  • Legislation, Computerized Decision-Support and the Transition to Value-Based Health Care in Radiology (Mick Brown)
  • Questions and Answers (Ronald Jackson, Mark D. Hiatt, Mick Brown)
This interactive seminar will examine the impact of price transparency and the transition to alternative payment models including MIPS on radiological practices and their relationship with hospitals and integrated health care systems. The session includes a presentation on how a streamlined body MRI service can add value to radiology in future health care systems.

For additional information, radiologists and their administrators are encouraged to refer to the radiology-specific summary of the MACRA final rule and “Be MACRA Ready: Quality Payment Program Decision Guide for Radiologists." Both were prepared by the ACR economics staff with guidance from the College’s Commission on Economics.