value-based modifiers: timeline for physicians

Value-Based Modifiers: Timeline for Physicians

VBM Timeline for Physicians

2012

VBM Timeline for Physicians

2012

Penalties begin for unsuccessful ePrescribing

adoption in 2011

VBM Timeline for Physicians

2012

Feedback from 2011 Quality & Resource Use Reports for Medicare

FFS given to 100,000 physicians

VBM Timeline for Physicians

2012

Feedback from 2011 Quality & Resource Use Reports for

Medicare FFS given to 100,000 physicians

Now, they will identify specific

measures of cost & quality (VBM)

VBM Timeline for Physicians

2012

CMS initiates plan to align Meaningful Use with EHR Reporting

and PQRS.

VBM Timeline for Physicians

2012

ISSUE: Only 3,300 of 23,730 physicians have downloaded their feedback

report from 2010

VBM Timeline for Physicians

2012

Physicians unmanaged?

ISSUE: Only 3,300 of 23,730 physicians have downloaded their feedback

report from 2010

VBM Timeline for Physicians

2012

ISSUE: Only 3,300 of 23,730 physicians have downloaded their feedback

report from 2010

Physicians unmanaged?

GAO to CMS: “Physician

awareness must be heightened!”

VBM Timeline for Physicians

2013

VBM Timeline for Physicians

2013

Performance period for 2015 Value-Based Modifiers begins

VBM Timeline for Physicians

2013

VBM implemented through rulemaking

VBM Timeline for Physicians

2013

Performance data published on Physician Compare website

VBM Timeline for Physicians

2013

Performance data published on Physician Compare website

http://www.medicare.gov/find-a-doctor/provider-search.aspx

VBM Timeline for Physicians

2015

VBM Timeline for Physicians

2015

CMS applies VBM to select physicians and physician groups

(selection to-be-determined in rulemaking)

VBM Timeline for Physicians

2015

Penalties begin for non-adopters of PQRS and

EHR technology under Meaningful Use

VBM Timeline for Physicians

2015

Penalties begin for non-adopters of PQRS and

EHR technology under Meaningful Use

AAHHH!!!

VBM Timeline for Physicians

2017

VBM Timeline for Physicians

2017

VBM is applied to ALL physicians and physician groups

VBM Timeline for Physicians

2017

Prevention

VBM is applied to ALL physicians and physician groups

VBM Timeline for Physicians

2017

Prevention

Wellness

VBM is applied to ALL physicians and physician groups

VBM Timeline for Physicians

2017

Wellness Long-term healing

Prevention

VBM is applied to ALL physicians and physician groups

VBM Timeline for Physicians

2017

Wellness

Long-term healing

Prevention

Medical Home

VBM is applied to ALL physicians and physician groups

VBM Timeline for Physicians

2017

Wellness

Long-term healing

Prevention

Medical Home

Proactive Care

VBM is applied to ALL physicians and physician groups

VBM Timeline for Physicians

2017

VBM is applied to ALL physicians and physician groups

Wellness

Long-term healing

Prevention

Medical Home

Proactive Care

Reimbursement

VBM Timeline for Physicians

20??

Measures for Future Rulemaking?

VBM Timeline for Physicians

20??

Hospitalization rates for ambulatory care-

sensitive conditions

VBM Timeline for Physicians

20??

Hospitalization rates for ambulatory care-

sensitive conditions

Care coordination and Transitions of Care measures

VBM Timeline for Physicians

20??

Hospitalization rates for ambulatory care-

sensitive conditions

Care coordination and Transitions of Care measures

Patient Safety Patient Experience

Functional Measures

VBM Timeline for Physicians

20??

Hospitalization rates for ambulatory care-

sensitive conditions

Care coordination and Transitions of Care measures

Patient Safety Patient Experience

Functional Measures

Episodes of Care