MACRA creates the Merit-Based Incentive Payment System (MIPS) with progressive cuts in fees for non-compliance up to 9% by 2022, Dr. Huntoon explains. "Compliance with MIPS for solo physicians was designed to be extremely difficult.… CMS predicts that 87% of solo physicians and 70% of physicians in small groups of two to nine physicians will face financial punishment." Many will be driven into large groups or become hospital employees.
Chronic stress has deleterious effects on body and brain. Dr. Huntoon outlines the results of a recent functional MRI study that identifies the effect of stress on neural networks. These structural changes may help to explain symptoms such as difficulty sleeping, weight gain, anxiety, memory difficulties, increased difficulty making decisions, irritability, and depression.
The cure for brain atrophy and the symptoms that accompany chronic stress is to remove the stressor from the environment if possible. "A recent survey revealed that 40 percent of physicians in solo and small-group practices are considering the healthy brain choice of leaving their abuser, Medicare," Dr. Huntoon writes.
The Journal of American Physicians and Surgeons is published by the Association of American Physicians and Surgeons (AAPS), a national organization representing physicians in all specialties since 1943.
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SOURCE Association of American Physicians and Surgeons (AAPS)