Archive for MedPAC

 

Docs Not Scoring Performance Bonuses

Relatively few physicians will receive Medicare pay-for-performance bonuses under Medicare’s value-based modifier program in 2018.

The question now is whether this is because of uninspiring performance or indifference to the program.

Of the approximately 1.1 million clinicians who participate in Medicare, only two percent – 22,000 – will receive pay increases in 2018 based on their 2016 performance.  Those raises will range from 6.6 percent to 19.9 percent.

Most doctors will receive neither bonuses nor penalties.

And roughly 300,000 failed to submit the data required by the program.  In the past they would have been penalized for this failure but that penalty was eliminated for what is now the final year of the program.

Medicare now moves to a new merit-based incentive payment system – and this program, even though it is just beginning, has already been targeted for elimination by the Medicare Payment Advisory Commission.  MedPAC recommended eliminating the new program, known as MIPS, at its meeting earlier this month.

Learn more about physician performance under the value-based modifier program from this CMS fact sheet.…

MedPAC Meets

Last week the Medicare Payment Advisory Commission held two days of public meetings in Washington, D.C.

During the sessions MedPAC, a non-partisan legislative branch agency that advises Congress on Medicare payment issues, addressed the following subjects:

  • a Medicare Advantage status report
  • a Medicare prescription drug program (Part D) status report
  • hospital inpatient and outpatient payments
  • physician payments
  • ambulatory surgical center, dialysis center, and hospice payments
  • post-acute care facility payments
  • the hospital readmissions reduction program
  • telehealth
  • accountable care organizations

Go here to see the issue briefs and presentations used during the meetings.…

MedPAC Meets

The Medicare Payment Advisory Commission met in Washington, D.C. last week.

Among the issues on the agenda of the independent agency that advises Congress on Medicare payment issues were:

  • payment adequacy for physicians and other health professional services
  • An alternative to the merit-based incentive payment system (MIPS)
  • payment adequacy for hospital inpatient and outpatient services
  • payment adequacy for ambulatory surgical center services
  • payment adequacy and improving the equity of payments for skilled nursing facility services
  • payment adequacy for inpatient rehabilitation services
  • payment adequacy for long-term-care hospital services
  • payment adequacy for home health services
  • payment adequacy for outpatient dialysis services
  • payment adequacy for hospice services
  • the status of the Medicare Advantage program

Find links to issue briefs on these subjects and the presentations offered at the meeting by going here, to the MedPAC web site.…

MedPAC Meets

The agency that advises Congress on Medicare payment issues met in Washington, D.C. last week.

At that meeting, members of the Medicare Payment Advisory Commission discussed a number of Medicare payment issues, including:

  • refining an alternative to the merit-based incentive payment system (MIPS)
  • improving incentives in the emergency debarment payment system
  • rebalancing the physician fee schedule towards primary care
  • increasing the equity of payments within each post-acute-care setting
  • principles for evaluating the expansion of Medicare’s coverage of telehealth services

Find the issue briefs and presentations used during the meeting to guide these discussions here, on MedPAC’s web site.…

MedPAC Meets

The independent agency that advises Congress and the administration on Medicare payment policies met last week in Washington, D.C.

Among the issues discussed at the meeting of the Medicare Payment Advisory Commission were:

  • the merit-based incentive payment system
  • a unified payment system for post-acute care
  • telehealth
  • a redesign of Medicare’s hospital value incentive program

Find the presentations and issue briefs for these subjects and others discussed at the MedPAC meeting here, on MedPAC’s web site.…