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Value Based Care [VBC] and Physician Performance?

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3 Responses

  1. VBC

    Undoubtedly, value-based care will result in lower reimbursement to physicians and death to private practices in rural towns where access is already less than optimal.

    MIPS will do little to enhance patients’ lives or physicians’ livelihoods. I can guarantee it will boost the bottom line for capitalists in control.

    Nikita

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  2. GOP Lawmakers Say MACRA Could Kill Small Practices and Fuel Consolidation

    Republican lawmakers are warning the CMS that if its draft rule on the new physician payment framework is finalized as is, small practices may close their doors, leading to more consolidation and higher healthcare costs. A group of Republican physicians in Congress wrote to the CMS just weeks before a final rule is expected. When MACRA goes live in 2019, it promises bonuses for top-performing doctors and clinicians and penalties for underperformers on a variety of measures, especially quality of care.

    The lawmakers urge the CMS to be flexible by lowering patient minimum reporting thresholds. The agency wants providers to report quality measures on 90% of their patients from all payers, and 80% of Medicare patients. Currently, only 50% of Medicare patients are required. Small providers would have a harder time obtaining the information technology and data needed to demonstrate that quality.

    Source: Virgil Dickson, Modern Healthcare [10/12/16]

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  3. 1 in 3 Healthcare Payments Tied to Alternative Payment Models in 2017

    LAN recently released an analysis on alternative payment model (APM) adoption. Here are some key findings from the report:

    • 34% of total U.S. healthcare payments in 2017 were tied to APMs.
    • 2 in 5 (41%) total U.S. healthcare payments in 2017 were fee-for-service.
    • 99% of payers strongly agree that APMs will result in better care quality.

    Source: LAN, October 22, 2018

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