tci Medicare Compliance & Reimbursement - 2015 Issue 4

Part B Payments: Are You Ready For Medicare Payment Reform?

Be prepared to innovate and develop new models of health care delivery. Watch out for changes that will allow outcomes to affect your bottom line if the Centers for Medicare & Medicaid Services (CMS) has its way. On Jan. 26, Department of Health and Human Services (HHS) Secretary Sylvia M. Burwell announced a new plan that will allow CMS to reimburse providers based on quality of care, rather than the number of procedures and services they provide. “HHS has set a goal of tying 30 percent of traditional or fee-for-service Medicare payments to quality or value through alternative...

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