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Are Accountable Care Organizations Another Form of Medical Capitation Reimbursement?
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Filed under: Health Insurance, Practice Management, Voting Polls | Tagged: Accountable Care Organizations, ACOs, Are Accountable Care Organizations Another Form of Medical Capitation Reimbursement?, capitation, Medical Capitation Reimbursement |
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CMS to Accept Advanced-Payment ACO Applications
The CMS announced plans to accept applications for 2013 advanced-payment model accountable care organizations. As of August 1, the agency will accept applications for the program, which offers small hospitals and medical groups access to upfront payments under the Medicare Shared Savings program, the CMS said.
The Shared Savings program was created under the Patient Protection and Affordable Care Act, which is facing a legal challenge before the U.S. Supreme Court that could invalidate the entire law. A decision is expected this month. The CMS named the first five advanced-payment ACOs in April. The CMS is expected to name another round of participants who will enter into shared savings contracts as of July 1st.
Source: Melanie Evans, Modern Healthcare [6/12/12]
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With Merit-Based Raises on Horizon, Doctors Should Prepare for Change
Although the performance-based reimbursements for physicians under the new Medicare law’s payment incentive system are a few years away, providers and their professional associations need to prepare now for changes ahead, industry sources told Bloomberg BNA.
Much of that focus will be on the Merit-Based Incentive Payment System (MIPS), the centerpiece of the new doctor payment structure that replaced the sustainable growth rate (SGR) formula in the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) (Pub. L. No. 114-10), signed by President Barack Obama April 16th, 2015.
Under MIPS, payments to professionals will be adjusted based on performance measures to be developed over the next few years. MIPS will replace the current group of incentive payment programs: the Physician Quality Reporting System (PQRS), Value-Based Payment Modifier (VPM), and Electronic Health Records (EHR) Meaningful Use (MU) Incentive Program.
Source: Mindy Yochelson, BNA’s Medicare Report [4/23/15]
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