What do you see as the major hurdles ophthalmology will be confronting?
Dr. Masket: The major hurdles remain the same as always; regulation and reimbursement.
Dr. Snyder: I think the greatest threat to our ability to provide needed care is from potential disincentives within the health care systems and regulatory environments to provide care efficiently and pleasantly. Many outstanding providers who ordinarily might have practiced for many more years or decades are choosing to and thinking about retiring earlier, given the increasing regulatory administrative demands being placed between doctors and their patients. The most obvious of these hurdles is the electronic record mandates, though there are many other regulatory and government barriers in play, including PQRS and MACRA, which create perverse incentives and disincentives.
Dr. Fekrat: Physician burnout due to EMR and increased documentation, rules, regulations, and coding.
Dr. Hoffman: Additional government regulations and encroachment into the world of medicine which adds little to care except increasing practice cost and physician frustration. There will be a serious physician shortage 5-10 years from now from early physician retirement and fewer MD graduates.
Dr. Lee: New regulations post Obamacare
Dr. Olson: Even less pay for the same unit of insured activity. That is why the IRIS technology, as a refractive option, will be so important.