A physician who did not report performance on quality measures to the Physician Quality Reporting System (PQRS) for 2015 now faces a 6% penalty on all Medicare Part B payments. The same penalty will apply in 2018 for physicians who do not report performance for 2016. In addition to PQRS penalties, a 3% penalty now … Continue Reading
On March 7, U.S. Department of Health and Human Services Secretary Tom Price stood at the podium in the White House press briefing room next to a table with two stacks of paper. The stack on the right was a copy of the Affordable Care Act, clocking in at 974 pages. On the left was … Continue Reading
The Medicare Quality Payment Program has officially launched, meaning most physicians (and most non-physician practitioners) now are in the initial performance period under the Merit-Based Incentive Payment System (MIPS). With 60% of the MIPS composite score based on quality measures, the selection of the most appropriate measures, and the manner in which to report, is … Continue Reading
Walgreens made big news two years ago when it partnered with large physician groups in New Jersey, Texas, and Florida to form accountable care organizations (ACOs) to participate in the Medicare Shared Savings Program (MSSP).… Continue Reading
By 2020 - just over five years from now--value-based reimbursement will overtake fee-for-service payments.
That's not the musing of some policy wonk. It is the key finding of a recent national survey of payers and hospitals and health systems conducted by the research and business intelligence firm ORC International. The survey included 114 payers and 350 hospitals and health systems of varying sizes located in diverse markets.… Continue Reading
This morning United Health Care announced its new Cancer Care Payment Pilot. According to UHC, this pilot is designed to “advance a new cancer payment model that focuses on best treatment practices and better health outcomes.” As a matter of fact, most agree that the cost of treating cancer under the current model is unsustainable. As evidence … Continue Reading
On a recent trip to speak to a group of physician leaders, I had the privilege of sitting next to a retired commercial pilot. I travel frequently and my usual routine on the plane is not very conversational, as I use that time as catch up time for work. However, it always gives me a … Continue Reading