The Road From Volume To ValueReporting On Health Webinar
March 19, 2015
Jordan RauSenior Correspondent
Kaiser Health News202.654.1362
[email protected] @jordanrau
•Piecemeal payment (per MD procedure, hospital visit)•No link to quality; more stuff done = more $$$• Same accountability as a criminal defense lawyer
Traditional Fee For
Service (FFS)
•Still paid per service but outcomes matter a bit•Bonus or penalties adjust the usual fee. Mandatory.•Examples: readmission rates, patient survey results, hospital infections. (All together about +2/- 6%)
Fee For Service Linked
To Quality
•A set fee per episode (e.g. bundled payment for knee surgery)•Gains or losses for overall cost of patients (ACOs)•Incentives for cross-provider cooperation..•Population-based payment . No link to volume (Maryland global payments)
Alternative Payment Models
Source: Centers for Medicare & Medicaid Services
The Road From Volume To ValueReporting On Health Webinar
March 19, 2015
Jordan RauSenior Correspondent
Kaiser Health News202.654.1362
[email protected] @jordanrau
http://innovation.cms.gov/initiatives/map/index.html#model=
https://data.cms.gov/dataset/CMS-Innovation-Center-Model-Participants/x8pc-u7ta
http://www.vnews.com/news/dartmouth/13775559-95/efforts-to-cut-health-costs-limp-along
http://www.medicare.gov/physiciancompare/aco/search.html
Quality Data
https://data.cms.gov/ACO/Medicare-Shared-Savings-Program-Accountable-Care-O/yuq5-65xt
The Road From Volume To ValueReporting On Health Webinar
March 19, 2015
Jordan RauSenior Correspondent
Kaiser Health News202.654.1362
[email protected] @jordanrau
