Physician Fee Schedule | Value-based care news, articles, webinars and materials

The 2022 CMS PFS And QPP Final Rule: A Warning Shot To Provider Holdouts Of Value-Based APMs

November 10, 2021Garrett SchmittNo Comments2022 Physician Fee Schedule, alternative payment models, APMs, CMS, Medicare, Medicare Physician Fee Schedule, PFS, Physician Fee Schedule, value-based APMs, value-based care

CMS has released the 2022 Physician Fee Schedule and Quality Payment Program (QPP) Final Rule, and the message of these 2,414 pages is clear: CMS wants to push providers into value-based care arrangements. That intent was foreshadowed by the Proposed Rule released over the summer, which confirmed our predictions of trends under the Biden administration. Specifically, we saw a push…

NEW KID ON THE BLOCK: REMOTE THERAPEUTIC MONITORING TO MAKE ITS WAY INTO CMS 2022 MEDICARE PHYSICIAN FEE SCHEDULE

November 10, 2021Garrett SchmittNo Comments2022 Physician Fee Schedule, CMS, Medicare, Medicare Physician Fee Schedule, Physician Fee Schedule, remote patient monitoring, remote therapeutic monitoring, RTM, Telehealth, Telemedicine

Recently, The Centers for Medicare and Medicaid Services (CMS) released a proposal for it’s 2022 Physician Fee Schedule. Over the last several years, more non-traditional modalities of healthcare have found their way into the CMS reimbursement landscape. This is promising as it suggests that CMS is aligning themselves with consumer demand and technology developments by…

Lack of Healthcare Interoperability Hinders Electronic ACO Reporting

September 16, 2021Garrett SchmittNo CommentsACO, ACO reporting, clinical quality measures, CMS, eCQMs, EHRs, electronic clinical quality measures, fee schedule, Interoperability, Medicare Physician Fee Schedule, MSSP, Physician Fee Schedule, quality of care, reporting

CMS is looking to modernize the ACO reporting process by mandating the use of electronic clinical quality measures (eCQMs). However, accountable care organizations (ACOs) are concerned that the lack of healthcare interoperability will make electronic ACO reporting near impossible. “CMS must avoid making eCQMs mandatory until standard data fields exist across EHRs, and true interoperability…

The 2022 CMS PFS And QPP Proposed Rule: 7 Things To Know

July 19, 2021Garrett SchmittNo Comments2022 PFS, ACOs, CEHRT, CMS, COVID-19, data exchange, health equity strategies, Medicare, MIPS Value Pathways, MSSP, MVPs, patient-reported outcomes, Physician Fee Schedule, QPP Proposed Rule, Quality Reporting

After the 2020 election, we predicted seven trends to expect in Value-Based Care. Our forecasts were right on track. Last week the Biden Administration released its first Physician Fee Schedule and Quality Payment Program Proposed Rule, a 1,747-page document that promotes restructured value-based care initiatives. As we predicted, it recognizes both a significant health equity…

CMS Expands Telehealth Coverage in Proposed 2022 Physician Fee Schedule

July 14, 2021Garrett SchmittNo Comments2022 Physician Fee Schedule, CMS, FQHCs, news, Physician Fee Schedule, RHCs, Telehealth

The Centers for Medicare & Medicaid Services’ proposed 2022 Physician Fee Schedule offers some good news for telehealth advocates. The 1747-page draft, released this week, proposes to make permanent some provisions enacted years to address the coronavirus pandemic, while continuing most until at least Dec. 23, 2023 “so that there is a glide path to…