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The nation’s quality enchancment and cost activities aren’t the only things receiving a federal overhaul this week: the electronic well being records that may help clinicians as they implement MACRA and move in the direction of a patient-centered, value-based mostly care environment are also getting some renewed consideration. He takes credit score for declines in the inflation fee for health care spending, decreases in client out-of-pocket health care spending, the rise of value primarily based care, and improvements in quality of care.