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The method is <mo>. Example:
/micon "Cure"
/ac "Cure" <mo>
/ac "Cure" <t>
A macro with that will have the icon for Cure and will try to cast Cure on whatever you have your mouse pointer over - this works whether it's a party member's model or their name on the party list - and if it can't, it'll instead cast on your current target (or on yourself, if you're currently targeting an enemy.)
/ac "Excogitation" <mo>
It is true that macros prevent skill queues but often times if your ping is good enough, you can spam the line above 14-15 times in the macro and it generally does a half-decent job of being responsive.
Furthermore, you can hover over your party list to heal players rather than targeting their characters in game.
This actually works rather well with ogcd healing such as excog, essential dignity, tetragrammaton, etc. I wouldn't recommend doing this for gcd healing but I've encountered many raiders (including myself) that use mouse over macros for ogcd healing. This also really helps with cards on astro, aetherial manipulation on blm, and left eye on drg.
Hope this helps.
I use a controller and its fairly simple, i focus target on the tank, then in the case of a dps needing healing, i just push down on the directional pad until i highlight their name, then push the button for my healing that i want to use after that spell is cast im immediately focused on the tank again.
Using <mo> actions is perfectly fine in most situations. Don't let people scare you away by telling you otherwise. The only time the delay will cause problems is in pvp and some savage content. Unless you're group is really under performing, the minimal delay between casts won't be a deal breaker for clearing.
Personal opinion: I've never felt a particular need for it in XIV. The tendency of mobs to spread out a bit more, along with having the enmity list available and tab targeting feeling a bit more reliable in its quirks than WoW, makes it work out better for me. And the slower GCD makes retargeting a little less frantic.
I do hope you can find a setup that feels comfortable to you.
Boss encounters are just as scripted and timed as they are in FFXIV, yet there's certainly a lot more chaos involved (and at a somewhat faster pace), whereas FFXIV is more about periodic damage windows with (mostly) controlled randomness and its own version of chaos, such as bullet-hell or highly overlapping mechanics.
I enjoy both and have done for years, but again, mouseover just isn't necessary. Having said that, one thing I see a lot of people do is designate a hot-bar beside their party frame which contains a macro'd version of important CD's (like Benediction) so that instead of having to click the party member and then use the ability, they can just click the designated button/macro which is scripted to cast X on [Y Party Member] - removing the need to target them at all -- but even that isn't necessary, just a nice aid.
For the most part, I simply use focus-target to ensure I'm always one click away from the main-tank (who will be taking the brunt of damage for the most part), preempt mechanics with AoE's or OGCD's, with 'reactionary' mostly boiling down to Joe Soap DPS accidentally eating a mechanic and needing a heal/dispel.
Third-party tool XIV Launcher/FFXIV Quick Launcher has the Mouseover Action plugin that lets the function be usable without macros, making it feel like a normal part of the game. Just the usual third-party tool warning: not usable by the ToS, they won't and can't detect them, don't talk about them ingame.
My trick is to assign target nearest enemy to E and position the party list next to the hot bars which your eyes pay attention to majority of the time.
Using mouse over seems silly when you can just move your mouse over a positioned name, click and press a number and then immediately press E to continue DPS casts.
If using the mouseover macro is faster for them than switching targets back and forth it's probably not a problem.
Mouseover healing is one of the types of macros where I've seen people say it is acceptable, due to the QoL nature of mouseover.
Queueing.
You can't queue the macro...
But you could put the command in it multiple times and as each line in the macro takes a miniscule amount of time, it will give it a slightly larger window to get it off sooner.