The regulatory burden on physicians is listed in the second spot on the organization's watch list for next year. A survey from the Physicians Foundation in 2012 found that physicians spend nearly a quarter of their time on paperwork that isn't clinically related. ICD-10 rules that go into effect in October are listed as a significant source of the extra regulatory burden doctors will incur this year.
Technology is also listed as a watch list item for next year, though it is recognized separately from the regulatory burden, mainly because the issue for physicians is getting electronic health records to be interoperable with other providers.
The final issue for physicians to watch for is health system stalemates, a more direct result of PPACA. Included in this watch list item are several ongoing issues that physicians believed would be addressed in 2013: a resolution to the Sustainable Growth Rate issue, tort reform, and the practice of defensive medicine.