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Value-Based Modifiers: Timeline for Physicians

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Value-Based Modifiers: Timeline for Physicians

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

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