Ready for BIG Medicare reimbursement changes?

If not, now is the time to prepare.

The Department of Health and Human Services (HHS) is working to move the U.S. healthcare system to value-based care.

We can help you stay current and up to date on important government healthcare changes and regulations that will impact your practice.  (To subscribe to our blog click here).

So what’s the big deal?

This is the first time in the history of the Medicare program that HHS has set specific goals for alternative payment models and value-based payments.

Traditionally, the system has been a fee-for-service model. Currently, 20% of Medicare payments for traditional beneficiaries are made through alternative payment models.

Goals and Timelines…

HHS said that it wants to tie fee-for-service Medicare payments to quality or value through alternative payment models, such as accountable care organizations or bundled payments.

HHS wants to meet these goals of tying payments to quality or value in set time frames:

  • 30% of payments tied to these models by the end of 2016; and
  • 50% of payments by 2018.

HHS also has set goals of tying traditional Medicare hospital payments to quality or value, as follows:

  • 85% of payments  by 2016; and
  • 90% of payments by 2018.

The effort to meet these goals will be aided by the Hospital Value Based Purchasing and the Hospital Readmissions Reduction Programs.

HHS believes this will be successful because the health care data necessary to track these efforts is now available, thanks to widespread use of health information technology. We help our clients stay ahead of the latest technology trends to ensure smooth transitions in the face of changing regulations.

HHS believes these payment goals and timelines will drive transformative change and lead to measurable improvements.

In our next blog post, we will keep you informed of related issues.  To get this important information delivered directly to your mail box, click here to Subscribe.

Do you need help with your preparing your practice for Medicare reimbursement changes?  We can help. To contact us about Medicare reimbursement, regulation changes, or your other legal needs:  CLICK HERE.

P.S. If you or your patients are interested in consumer healthcare issues, check out myhealthspin.com.

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