Multiple Chronic Conditions Blog

Are You Preparing for Changes in Fee-for-Service?

Friday, 21 August 2015 00:19 / by Dr Kim Kuebler

On March 25, 2015 President Obama recognized the massive changes that have been made in the health care system over the past 5 years through the Affordable Care Act. He announced the launch of the Health Care Payment Learning and Action Network.

The Health Care Payment Learning and Action Network is composed of private payers, providers, employers, state partners, consumer groups, individual consumers, and many others to accelerate the transition to alternative payment models.

The US Department of Health and Human Services (HHS) has set a goal of tying 30 percent of Medicare fee-for-service payments to QUALITY or VALUE through alternative payment models by 2016 and 50 percent by 2018. HHS has also set a goal of tying 85 percent of all Medicare fee-for-service to QUALITY or VALUE by 2016 and 90 percent by 2018. 

Alternative payment models and payment reforms that seek to deliver better care at lower cost share a common pathway for success: providers, payers, and others in the health care system must make fundamental changes in their day-to-day operations that improve quality and reduce the cost of health care.

The Health Care Payment Learning and Action Network is one of many initiatives unfolding under HHS. Transforming Clinical Practice Initiative, was launched in October, 2014 and the Connecting Health Care for the Nation: A Shared Nationwide Interoperability Roadmap, announced January 2015.

Stay informed, be prepared for change – visit the Multiple Chronic Condition Resource Center for the most current evidence to address QUALITY and VALUE in managing the largest, fastest growing and most costly US patient population.

https://www.youtube.com/watch?v=qoiCK-kMX4s

http://innovation.cms.gov/initiatives/Health-Care-Payment-Learning-and-Action-Network/.

http://innovation.cms.gov/initiatives/Transforming-Clinical-Practices/index.html

http://www.healthit.gov/sites/default/files/nationwide-interoperability-roadmap-draft-version-1.0.pdf

Dr Kim Kuebler

Written by Dr Kim Kuebler

Dr. Kim Kuebler is the Medical Team Leader for Ortho Sport and Spine Physicians, Savannah, GA. She is an Adult Nurse Practitioner graduate from Emory University's School of Nursing and Doctor of Nursing Practice graduate from Vanderbilt University.