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Health care reform
Value-based payment will bring big changes to practices. Here’s what we know now.
Like it or not, value-based payments are here to stay.
It's going to be a challenging year, but we can do this.
Physicians who have completed Stage 1 meaningful use criteria face a new round of regulations in 2014 to remain in compliance. Stage 2 includes both brand-new rules as well as continued monitoring of existing criteria, many of which have been expanded or changed from optional to mandatory. These changes will require significantly adjusting many work practices and likely mean additional or updated technology. Attached tables detail the new Stage 2 requirements and the timetable for when incentives for participating in the program end and penalties for non-compliance begin.
The Affordable Care Act's Sunshine Rule has gone into effect, requiring pharmaceutical and medical device manufacturers to report any payments or transfers of value to physicians and practices. Physicians will need to take steps to familiarize themselves with the rule, prepare for the release of these reports to patients, and make sure inaccuracies don't go uncorrected and put them in a bad light.
It's 1995 all over again. Let's get it right this time.
The Comprehensive Primary Care Initiative launched by the Centers for Medicare & Medicaid Services will test the effects of a blended payment model for primary care services, including a per-member-per-month care management fee. This article describes the details, timeline and other information about this promising initiative.
What do you think the odds are that you will have uninsured patients to care for next year?
If the PCMH represents good primary care, why isn't it defined by the criteria of good primary care?