News of Import

CMS Chief Medical Officer Patrick Conway Fleshes Out Innovation and Payment Reform

In a presentation to the Annual Meeting of the National Quality Forum (NQF), Dr. Conway details current CMS plans.  Links to his presentation and slides are at:

See the latest updates on the Health and Human Services/CMS section of the Federal Government's website:

HHS Sets Clear Goals and Timelines for Medicare Reimbursements to Value
Secretary Burwell announced clear short-term goals to shift from Fee-for-Service (FFS) payment toward alternative payment models (e.g. Accountable Care Organizations – ACOs, bundled payment): 30% by 2016 and 50% by 2018.  Other FFS payments would be increasingly tied to quality and value through programs such as Hospital Value Based Purchasing and Hospital Readmission Reduction Programs, bringing the total payments linked to Value to 85% by 2016 and 90% by 2018.  See press release, with comments from major Stakeholders:

Secretary Burwell Signals Intent to Engage Medicaid & Private Payors in Value Payment

In an article in the New England Journal of Medicine (NEJM), Secretary Burwell further outlines efforts to align other healthcare payors across settings with Medicare in movement from Fee-for-Service to Value Based Payment.  A brief outline of efforts to do so is provided:

Annual Recommendations to CMS for Use of Measures for Payment Policy Released

See the latest Annual Reports on "Considerations for Implementing Measures" for Hospitals, Clinicians, PAC/LTC, etc. to CMS along with detailed workgroup reports from The National Quality Forum (NQF) Measures Application Partnership (MAP) at: