tci Medicare Compliance & Reimbursement - 2016 Issue 3
Reimbursement: Get a First Look at New Quality Measures in CMS' Volume-To-Value Evolution
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Article Overview
This article covers CMS’s draft Quality Measure Development Plan and its role in the shift toward value-based Medicare reimbursement. It is relevant for physicians, coders, compliance staff, and practice leaders who follow MIPS, APMs, and related quality-reporting programs. The discussion focuses on the broad structure of the measure-development process, the quality domains CMS highlighted, and how existing reporting initiatives fit into the new framework.
Why This Topic Matters
The article helps readers understand how Medicare quality measurement is being reshaped and why the draft plan matters for future reimbursement, reporting, and program alignment.
Article Sections
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Prepare for the New MIPS & APMs
Introduces CMS’s move toward quality- and value-based Medicare payment models and the draft plan intended to support them.
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Will MDP Become More Painful than SGR?
Discusses the legislation and policy context behind the draft plan and its relationship to prior Medicare payment methodology changes.
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No More Payment Updates
Explains how the draft plan relates to existing clinician reporting and incentive programs and the broader alignment of quality measurement policies.
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Expect 13 Types of Measures
Summarizes the general features CMS expects for future quality measures and the categories of measures the agency wants to expand.
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Offer Up Your 2 Cents
Provides the article’s closing note on timing, public comment, and where readers could review the draft plan and submit feedback.
What You Will Learn
- How CMS is framing the transition from volume-based to value-based Medicare payment
- What the draft quality measure development plan is intended to support
- How existing quality-reporting programs fit into the new structure
- What broad measure characteristics CMS expects to prioritize
- How public comment and implementation timing are presented in the article
Who Should Read This
- Physicians
- Medical practice managers
- Healthcare compliance professionals
- Medical coders
- Quality reporting staff
- Health policy professionals
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