Topic
Value-Based Payment
20 published works
Health Law Update
Bundled Payments Out in the Cold? Another Delay for Mandatory Bundled Payment Models
By Kristen McDermott Woodrum, Katy Appleby
This most recent delay raises questions concerning how the Trump administration intends to implement value-based payment in the Medicare program. The Centers for Medicare and Medicaid Services (CMS) has delayed…
Health Law Diagnosis
CMS’ Final MACRA Rule Continues Transition Toward Value-Based Payments
By Robinson+Cole's Health Law Group
On November 4, 2016, the Centers for Medicare & Medicaid Services (CMS) published a final rule with comment period (Final Rule) implementing the Medicare Access and CHIP Reauthorization Act of…
Triage Health Law
With New Primary Care Compensation Model, CMS Continues Efforts to Promote Value-Based Payments
By James Hafner
Beginning in January 2017, primary care physicians and their practices (PCPs) will be able to participate in a multi-payer payment reform and care delivery transformation aimed at strengthening primary care.…
Healthcare Law Insights
Value-based payments are heading for physicians
In a 92-8 vote on April 14, 2015, the Senate passed a bipartisan measure to repeal the Medicare payment formula known as the Sustainable Growth Rate (“SGR”). The legislation also…
Health Law
Next Generation ACO Model Sets Tone for CMS’s Push Toward Value-Based Payment
Through the announcement of its new “Next Generation ACO Model” (Next Gen Model) program on March 10, 2015, the Centers for Medicare & Medicaid Services is making good on its…
Healthcare Law Blog
Time is Running Out to Avoid the Negative Effects of 2016 Value-Based Physician Payment Modifiers: CMS Releases Results of Medicare’s Value-Based Payment Modifier for 2015 as Final PQRS Participation Deadlines for 2016 Adjustments Approach
By Eric Klein, Rachel Landauer
CMS recently released results of Medicare’s value-based payment modifier for 2015.[1] This is the first year in which physicians are subject to adjustments under the payment system and, in this…
Iowa Healthcare Law Blog
Medicare value-based payment system
By Jeanine Freeman, J.D., Brick Gentry P.C.
HHS sets percentage targets for a Medicare value-based payment system -- emphasis on ACOs/bundled payments/integrated care – HHS calls for coordinated design across all payment sectors. Secretary of Health and…
Health Care Law Matters
HHS to Shift 90% of Fee-For Service Payments to Performance-Based Payments by 2018
Yesterday the Secretary of the Department of Health and Human Services (HHS) formally announced HHS’ intention to shift 90% of all traditional Medicare payments from fee-for-service (FFS) to quality or…
Health Industry Washington Watch
CMS Call on 2015 Value-Based Payment Modifier (Sept. 24)
On September 24, 2013, CMS will host a call for providers on “Program Year 2012 Quality and Resource Use Report – Mapping a Route to Success for the 2015 Value-Based…
Health Industry Washington Watch
Physician Value-Based Payment Modifier Program: Experience from Private Sector Physician Pay-for-Performance Programs (Feb. 29)
On February 29, 2012, CMS is hosting a National Provider Call to discuss the ACA requirement that CMS apply a value modifier to Medicare physician payments. The value modifier will…