CMS is reporting these events and information on payment issues concerning Medicare and Medicaid. News includes updates on eCQM library and eCQI resources, SNF Value-Based Purchasing Program, Medicare Shared Savings Program, and the Clinical Laboratory Fee Schedule.
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By Don Michaels PhD – The U.S. Department of Health and Human Services (HHS) has a stated goal of shifting 85% of Medicare fee-for-service reimbursement into value-based models by 2016. Private payers will no doubt follow close behind. Meeting this aggressive goal is causing angst among healthcare providers with much conjecture about what it means for their organizations going forward.
By Sharon Arnold PhD – Much has been written about the importance of finding alternatives to the volume-increasing incentives of traditional fee for service payments and one solution or change will not create an instant results. However, there is a continuum between pure fee for service and pure capitation.
CMS has been carefully monitoring the transition and is pleased to report that claims are processing normally. Generally speaking, Medicare claims take several days to be processed and, once processed, Medicare must– by law – wait two weeks before issuing a payment.
The Workgroup for Electronic Data Interchange (WEDI) announced its Payment Models Workgroup is forming a project team to advance its work in the specific area of Bundled Payments.
The Death of Fee for Service and the Value in Value-Based Medicine By Denny Flint, Sr. Consultant and Director of Business Development for Assistive Coding,…
What Kind of IT is Needed? Robert Rowley, MD Twitter: @RRowleyMD The trend toward value based payment for healthcare services is gaining momentum. For better…