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Value-Based Modifiers: Timeline for Physicians

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  • 1. Value-Based Modifiers:Timeline for Physicians
  • 2. VBM Timeline for Physicians2012
  • 3. VBM Timeline for Physicians2012 Penalties begin for unsuccessful ePrescribing adoption in 2011
  • 4. VBM Timeline for Physicians2012 Feedback from 2011 Quality &Resource Use Reports for Medicare FFS given to 100,000 physicians
  • 5. VBM Timeline for Physicians 2012 Now, they will identify specificFeedback from 2011 Quality & measures of cost Resource Use Reports for Medicare FFS given to 100,000 physicians & quality (VBM)
  • 6. VBM Timeline for Physicians2012 CMS initiates plan to align Meaningful Use with EHR Reporting and PQRS.
  • 7. VBM Timeline for Physicians2012ISSUE: Only 3,300 of 23,730 physicians have downloaded their feedback report from 2010
  • 8. VBM Timeline for Physicians 2012 Physicians unmanaged?ISSUE: Only 3,300 of 23,730 physicians have downloaded their feedback report from 2010
  • 9. VBM Timeline for Physicians 2012 Physicians unmanaged? GAO to CMS: “PhysicianISSUE: Only 3,300 of 23,730 physicians awareness must have downloaded their feedback be heightened!” report from 2010
  • 10. VBM Timeline for Physicians2013
  • 11. VBM Timeline for Physicians2013 Performance period for 2015 Value-Based Modifiers begins
  • 12. VBM Timeline for Physicians2013 VBM implemented through rulemaking
  • 13. VBM Timeline for Physicians2013Performance data published on Physician Compare website
  • 14. VBM Timeline for Physicians2013 http://www.medicare.gov/find-a- doctor/provider-search.aspxPerformance data published on Physician Compare website
  • 15. VBM Timeline for Physicians2015
  • 16. VBM Timeline for Physicians2015 CMS applies VBM to select physicians and physician groups (selection to-be-determined in rulemaking)
  • 17. VBM Timeline for Physicians2015 Penalties begin for non-adopters of PQRS and EHR technology under Meaningful Use
  • 18. VBM Timeline for Physicians2015 Penalties begin for non-adopters of PQRS and EHR technology under Meaningful Use AAHHH!!!
  • 19. VBM Timeline for Physicians2017
  • 20. VBM Timeline for Physicians2017 VBM is applied to ALL physicians and physician groups
  • 21. VBM Timeline for Physicians 2017 Prevention VBM is applied to ALLphysicians and physician groups
  • 22. VBM Timeline for Physicians 2017 Wellness Prevention VBM is applied to ALLphysicians and physician groups
  • 23. VBM Timeline for Physicians 2017 Wellness Long-term healing Prevention VBM is applied to ALLphysicians and physician groups
  • 24. VBM Timeline for Physicians 2017 Wellness Medical Home Prevention Long-term healing VBM is applied to ALLphysicians and physician groups
  • 25. VBM Timeline for Physicians 2017 Medical Wellness Home Prevention Long-term healing Proactive Care VBM is applied to ALLphysicians and physician groups
  • 26. VBM Timeline for Physicians 2017 Proactive Care Medical Wellness Home Prevention Long-term healing VBM is applied to ALL Reimbursementphysicians and physician groups
  • 27. VBM Timeline for Physicians20?? Measures for Future Rulemaking?
  • 28. VBM Timeline for Physicians 20??Hospitalization rates for ambulatory care- sensitive conditions
  • 29. VBM Timeline for Physicians 20??Hospitalization rates for ambulatory care- sensitive conditions Care coordination and Transitions of Care measures
  • 30. VBM Timeline for Physicians 20?? Patient SafetyHospitalization rates for Patient Experience ambulatory care- Functional Measures sensitive conditions Care coordination and Transitions of Care measures
  • 31. VBM Timeline for Physicians 20?? Patient SafetyHospitalization rates for Patient Experience ambulatory care- Functional Measures sensitive conditions Care coordination and Episodes of Care Transitions of Care measures