Discover and read the best of Twitter Threads about #Trifeca

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1/ Our national quality/value program (MACRA) is broken

Most people just complain about its shortcomings, but @Travis_Broome comes up with an elegant, grounded way to fix its biggest flaws

Apply behavioral economics, use virtual groups, lay path to APMs ajmc.com/view/macra-has…
2/ MACRA was a true milestone, and a concept that I still support- instead of artificially capping medical inflation (and then not having the guts to actually see doc pay cuts) lets create 2 paths- a "pay for performance" base and an incentivized alternative payment model track.
3/ But 3 seemingly technical details fundamentally sapped the potential impact of this huge bill.

classic behavioral economics- the impact of an incentive is not just proportional to its size, but also its cost, uncertainty, and delay

MACRA stunk on all counts here.
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