tci Medicare Compliance & Reimbursement - 2016 Issue 3

Reimbursement: Get a First Look at New Quality Measures in CMS' Volume-To-Value Evolution

Brace yourself for CMS to rate you on these six quality domains. You know that audacious idea about moving Medicare payments from a volume- to value-based reimbursement structure? That wasn’t just a fleeting notion — the Centers for Medicare & MedicaidServices (CMS) has taken its first big step in making it a reality. Prepare for the New MIPS & APMs CMS intends to move at least 50 percent of Medicare payments from fee-for-service (FFS) to alternative payment systems based on quality and/or value by 2018, notes ToddRodriguez, partner and co-chair of Fox Rothschild LLP’s Health Law Practice...

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