tci Medicare Compliance & Reimbursement - 2017 Issue 17
Industry Notes: OIG Work Plan Suggests the MSSPs Save Money and Increase Pay
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Article Overview
This brief industry note discusses an HHS Office of Inspector General study highlighted in the Work Plan and its implications for Medicare payment policy. It is aimed at coding and reimbursement professionals who follow MACRA, alternative payment models, and accountable care organization performance. The article provides a high-level summary of reported savings, quality improvement, and the broader relevance of Medicare Shared Savings Program participation, without diving into detailed coding guidance.
Why This Topic Matters
It helps readers understand why participation in Medicare Shared Savings Program accountable care organizations may be relevant to broader Medicare reimbursement strategy and value-based payment adoption.
What You Will Learn
- How the article frames Medicare Shared Savings Program participation within MACRA and alternative payment models.
- What the OIG Work Plan study says at a high level about savings and quality performance.
- Why the topic may matter for providers interested in Medicare reimbursement models and accountable care organizations.
- The general policy context behind the article's discussion of value-based care.
Who Should Read This
- Medical coders
- Coding auditors
- Reimbursement specialists
- Practice managers
- Healthcare compliance professionals
- Accountable care organization administrators
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