1 a) Will IMPACT really have any impact on how skilled nursing is provided in the United States? IMPACT applies to post-acute care organizations that participate in Medicare, so you will need to identify what types of care and facilities the federal law applies to.

1 b) Assume you are the administrator for a group practice. How would you determine if MIPS or APM is best for the physician practice? Thinking about this course, are there specific financial analysis tools that can assist in making this decision, and if so which ones would you use and why?

1 c) MACRA has now been in existence since 2017 and impacts how physicians are paid under Medicare, whether they are independent of a healthcare system or part of a system. It does replace the SGR that was extremely unpopular amongst physicians. Is MACRA successful in encouraging both quality outcomes and cost effectiveness?