Wanted: Comments on Value-based Purchasing

The Centers for Medicare & Medicaid Services (CMS) will hold a listening session in September regarding confidential feedback reports and the implementation of a value-based payment modifier for physicians. Physicians, physician associations, and all others interested in the use of confidential feedback reports as one means of enhancing quality and efficiency are encouraged to participate in person or by calling the teleconference.

The Patient Protection and Affordable Care Act requires the secretary of the U.S. Department of Health and Human Services (HHS), beginning in 2012, to provide reports comparing patterns of resource use of individual physicians to other physicians, and to apply a budget-neutral payment modifier to the fee-for-service physician fee schedule beginning in 2015.

The purpose of this listening session, CMS says, is to solicit comments on approaches being considered as the agency implements these Affordable Care Act provisions. During the listening session, CMS will discuss Phases I and II of the Physician Feedback Program and outline the relevant sections of the public law. Stakeholder input will be sought on many topics including:

  • Report design and dissemination
  • Cost and quality measures to assess performance
  • Risk adjustment
  • Attribution of Medicare beneficiaries to providers
  • Benchmarking and peer groups
  • Composite measures of cost and quality

The listening session will be held Sept. 24 from 10 am to 4 pm EDT. Registration began July 30 and ends Sept. 22 at 5 pm EDT. The deadline for submission of written comments or statements must be received by Sept. 20 at 5 pm EDT. Refer to the CMS meeting notice, published in the Federal Register Aug. 4, for further meeting and commenting information.

Background information, including the relevant preamble language from the 2011 Physician Fee Schedule proposed rule will be posted on the CMS website approximately one week prior to the session.

The complete 2011 Physician Fee Schedule proposed rule appeared in the July 13, Federal Register (75 FR 40040). The public comment period for this proposed rule ends August 24.

dec-clearance-sale

Latest posts by admin aapc (see all)

Leave a Reply

Your email address will not be published. Required fields are marked *