value-based modifiers: timeline for physicians
TRANSCRIPT
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