Senate’s Repeal of Medicare Sustainable Growth Rate Strengthens Move Toward Value-Based Physician Reimbursement

The U.S. Senate voted Tuesday, April 14th, to approve a bill that repeals the Medicare Physician Payment Reform Bill, otherwise known as the Sustainable Growth Rate (SGR), a mechanism used to calculate Medicare payments to physicians.

The legislation also created the Merit-Based Incentive Payment System further solidifying Medicare’s move toward payment systems based on quality. The bill was signed into law by President Obama. The National Quality Forum (NQF) applauded the move, as did many other physician organizations.

The legislation complements the recent launch by the U.S. Department of Health and Human Services (HHS) of the Health Care Payment Learning and Action Network, with its focus on shifting payments for healthcare services based from one that rewards volume of services to one that rewards value of services provided.

Says the NQF, “Ultimately, these efforts will not only help people get better healthcare, but also will reduce costs that strain patients, purchasers, and the system overall.”

Source: NQF, April 15, 2015

Chronic Care Management Reimbursement Compliance: Physician Requirements for Value-Based Revenue

Chronic Care Management Reimbursement Compliance: Physician Requirements for Value-Based Revenuesets the record straight on CCM reimbursement compliance, offering strategies for navigating obstacles and meeting requirements. Attorneys Dr. Paul Rudolf, partner, Arnold & Porter LLP, and Nicole Liffrig, counsel, Arnold & Porter LLP, drill down into chronic care management requirements outlined in the 2015 Medicare Physician Fee Schedule.

This entry was posted in affordable care act, Alternative Healthcare Coverage, Avoidable Hospitalization, Improving Community Care, Improving Patient Care and tagged , , . Bookmark the permalink.
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