Cara Brioch: MACRA Will Force More Provider Group Consolidation

Cara Brioch has witnessed constant and widespread consolidation of small practices in Minnesota during her years with Medica, a health insurance organization in Minnesota. She is calling on CMS to consider consolidation, the impact it will have on small practices in combination with MACRA, and to build in appropriate supports to enable independent providers to succeed under the new rules.

“When you are comparing a group of one thousand physicians, and the data analytic skills that they are going to have as well as the quality improvement opportunities that they have, versus a five doctor practice, you are not comparing apples to apples,” says Cara.

Cara makes the case that providing data and reporting support for small practices will prevent widespread monopolies from forming while simultaneously keeping health care costs from rising.


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