Keckley Report September 19, 2022
Paul Keckley

For the past 15 years, regulators have tried to reduce spending and improve quality by changing incentives from volume to value. Has it worked?

Background: At the Federal level, policymakers have used their fiduciary control of Medicare and cost-sharing authority in state Medicaid programs to attempt cost containment. Laws have been passed to enable a shift from fee-for-service to value-based provider payments most with bipartisan support:

·        2008 Medicare Improvements for Patients and Providers Act (MIPPA),

·        2010 Affordable Care Act (ACA)

·        2012 Hospital Readmissions Reduction Program (HRRP)

·        2013 Hospital Value-Based Purchasing Program (HVBP)

·        2015 Medicare Access & CHIP Reauthorization Act (MACRA)

·        2017 Merit-Based Incentive Payment System (MIPS)

·        (Pending) Value in Health Care Act (HR...

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Topics: CMS, Govt Agencies, Health System / Hospital, Insurance, Medicare, Payment Models, Physician, Primary care, Provider, Value Based
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