I asked one of the expert billing consultants provided by the News York State Ophthalmologic Society whether a physician would be kicked out of Medicare if they refused to participate with MACRA? He said no. If a physician refuses to participate, he or she is only subject to the monetary reimbursement penalties. That is fine with me. I refuse to participate in this government mandated experiment to try to determine our level of competence and quality of care. The quality measures are irrelevant and the whole program is just a further attempt to control every aspect of the health care system.
