Fact Based List:
National Commission on Physician Payment Reform: Twelve Recommendations for Reforming Physician Payment
Submitted by Anonymous on Wed, 03/06/2013 - 15:23
- Over time, payers should largely eliminate stand-alone fee-for-service payment to medical practices because of its inherent inefficiencies and problematic financial incentives
- Transition to approach based on quality & value should start with testing of new models of care over 5-year period, incorporating them into practices, with goal of broad adoption by the end of decade
- Because fee-for-service will remain an important mode of payment into the future, even as the nation shifts to fixed payment models, it will be necessary to continue recalibrating FFS payments
- Annual updates should be increased for evaluation and management codes, which are undervalued. Updates for procedural diagnosis codes, which are overvalued, should be frozen for a period of 3 years
- Higher payment for facility-based services that can be performed in a lower-cost setting should be eliminated
- Fee-for-service contracts should always include a component of quality or outcome-based performance reimbursement at a level sufficient to motivate substantial behavior change
- In practices having fewer than 5 providers, changes in fee-for-service reimbursement should encourage methods to form virtual relationships & thereby share resources to achieve higher quality care
- As the nation moves from a FFS system toward fixed payments, initial payment reforms should focus on areas where significant potential exists for cost savings & better quality
- Measures should be put into place to safeguard access to high quality care, assess the adequacy of risk-adjustment indicators, and promote strong physician commitment to patients
- The SGR adjustment should be eliminated
- Recovering revenues that would’ve been in the SGR shouldn’t just be reduced physician payment but Medicare as a whole. They should also look for savings from reductions in inappropriate utilization
- The Relative value scale Update Committee (RUC) should continue to make changes to become more representative of the medical profession as a whole and to make its decision making more transparent
Source: National Commission on Physician Payment Reform
Source URL: http://physicianpaymentcommission.org/wp-content/uploads/201...
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