Physicians who depend on reimbursement from CMS tangle with value based payment (VBP) systems, a regulatory framework intended to hold providers accountable for healthcare quality and cost. CMS promotes these systems as providing better care for individual patients, better health for populations, and lower costs compared with the traditional fee-for-service (FFS) model.
In many ways, the passage of the Affordable Care Act kicked off and codified the transition to VBP, and for many providers, that transition has been challenging. This trend, however, is here to stay. With some tactical adjustments, clinicians can work within this emerging system to improve care and maximize remuneration.