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The nearly 2,400-page final rule for the Medicare Access & CHIP Reauthorization Act (MACRA) has been reviewed by healthcare experts, and the general consensus is that it’s an improvement compared to the proposed rule, but challenges for small practices remain.

Physicians have long expressed dissatisfaction with the amount of time and money it takes to deal with insurance companies, but the alternative, going insurance-free, may seem a risky, problematic model of operation that could send patients fleeing from their practice-something no physician wants to happen.

As they analyze the 2,398-page final rule revamping Medicare reimbursement, Republican physician lawmakers say they will, if needed, intervene to improve the regulations for the nation’s physicians.

2016 EHR Report

Physicians expect more from their electronic health records (EHRs). These systems were supposed to provide efficiency and troves of useful data, enabling doctors to manage patient populations and meet the demands of quality care. But EHRs are lacking in all of these areas.

Despite widespread unhappiness, surprisingly few practices say they plan to change their EHR system. Here’s why.