Managed Healthcare Executive August 27, 2021
Dave Halpert

Organizations should prepare for massive updates to quality measurement and reimbursement in 2023, while simultaneously addressing cost measurement in 2022.

After the 2020 election, we predicted trends to expect in Value-Based Care. Our forecasts have proven true. The Biden Administration’s first Physician Fee Schedule and Quality Payment Program (QPP) Proposed Rule recognizes the challenges posed by a significant health equity gap and a lack of transparent data for healthcare consumers.

Resulting proposals signal that organizations should prepare for massive updates to quality measurement and reimbursement in 2023, while simultaneously addressing cost measurement in 2022.

Here are the seven things you need to know:

1. ACOs may continue reporting on a Medicare-only patient sample, but only long enough to transition.

CMS...

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Topics: ACO (Accountable Care), CMS, Govt Agencies, Insurance, MACRA, Medicare, Payment Models, Provider, Value Based
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