Use of EHRs in the Context of Payment Reform 


Synergies and Sequencing in Delivery and Payment Reform: Understanding What Works 
Sponsor: Agency for Healthcare Research and Quality (AHRQ) 

The Medicare Access and CHIP Reauthorization Act (MACRA) is an unprecedented expansion of value-based payment reform for physicians. Physicians will choose one of two tracks in which to participate. Alternative payment models (APMs) is the track that is widely considered to be the future of healthcare. The future impact of MACRA is unknown. However, recent experience can help to inform how physicians are likely to engage with APMs and the impact of these choices on the quality and cost of care. Our overall objective is to understand the effects of delivery and payment reforms on healthcare quality and spending in the United States. The objective of the project is to identify participation patterns and near-term effects of Meaningful Use and PCMH programs in the context of ACO efforts because these are key components of APMs.