I'm also in a solo practice and in the same boat. My plan is to just close the office and work part time when things get bad enough. It's too bad because I've built a nice practice and have several people depending on me for jobs.
This is a pretty good article:
http://medicaleconomics.modernmedic...l-practices-likely-be-losers-under-macra . One thing that strikes me is that CMS is predicting 87% of solo docs will fail the MIPS guidelines and receive penalties. Basically MACRA is putting us in a position they know we won't win.
The comment period on MACRA is open until June 26th and I'd encourage people to leave comments on the bill. My suggestion would be exempting groups under 10 docs from the guidelines. I also sent a copy of my comments to my Senators and Congressman, and ended up talking to one Senator's office. Whether it will do any good who knows but it can't hurt.
