Under the MIPS, Medicare reimbursement for physicians will be a function of quality determined by the so-called Value-Based Payment Modifier (VBM) and the Physician Quality Reporting System (PQRS)
Hybrid Physician Payment System Can Ensure Quality, Customer Service
A reader highlights how hybrid compensation approach can incorporate clinical guidelines, decrease cost without compromising quality of care
Physician Pay Shifts from Volume to Value
Relative value unit payment system could replace complex, variable physician compensation model that exists today
Medicare Payment Data Release Concerns Some Otolaryngologists
Without way to refine data or validate its accuracy, physicians concerned misperceptions could impact doctor–patient relationships
Tips for Coding Inferior Turbinate Surgery
Ensure proper coding of procedures for inferior turbinate hypertrophy surgery to maximize reimbursement
Lower Reimbursement, Greater Regulation Threaten to Shutter Sleep Centers
Plan needed to reposition centers to be economically viable in new third-party payer and regulatory climates
Price Cut Generates Momentum Behind Push to Revamp SGR
Possibility of repealing and replacing Sustainable Growth Rate Medicare reimbursement formula seems more likely than ever, say congressional lawmakers
Medicare Physician Payment Cut Averted
A 27.4 percent Medicare cut was scheduled to begin Mar. 1.
Payment Shifts: Expect reimbursement structure changes ahead, policy experts say
Although the new U.S. health care law does not specifically alter the current fee-for-service payment structure, changes to how physicians and hospitals will be reimbursed for services are under construction. These changes are reflected by the growing focus on the development and implementation of quality improvement and physician and institutional performance measures on which reimbursement will increasingly be made, panelists said here on Sept. 11 at the 2011 American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) Annual Meeting.
A Blessing and a Curse: Health care reform comes at a steep price
There is a Chinese proverb that is both a blessing and a curse. The blessing is, “May you live in interesting times,” and the curse is, “May you live in interesting times.” All of us would like things to stabilize into a constant, comfortable and predictable environment for us to live our lives, raise our families and care for our patients. We are entering the most complex and challenging period that medicine has experienced since the 1960s when Medicare was introduced. From now on, everything we have come to know and are comfortable with in our professional lives will change.
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