The Centers for Medicare and Medicaid Services (CMS) is proposing a major update to its Medicaid Managed care rules. It would be the first major update in more than a decade.
We’ve reported that Medicare is quickly moving toward value-based care payment models, and now it seems that Medicaid is not far behind. With 2.5 million Pennsylvanians on Medicaid, most in managed care, this is a big step.
The proposed rule, among many other items, would allow states to require plans to implement value-based purchasing models including pay-for-performance arrangements, bundled payments, or other value or outcome-based models.
If these proposed Medicaid rules happened tomorrow, would you be ready?
The transition from volume to value is coming, and faster than many anticipated. These changes can seem daunting. Fortunately, there are steps you can take now not just to be prepared but to be successful in value-based care.
The Pennsylvania Medical Society has you covered. We have developed an education series focused on volume to value that will lay the groundwork for providers to learn essential skills and capabilities to successfully navigate the world of value-based care.
Through a series of online, on-demand courses and live workshops being held in Harrisburg, Pa., on Aug. 7 and Oct. 9, the Pennsylvania Medical Society (PAMED) can help you ensure that you stay ahead of the curve. This series is facilitated by PAMED member Ray Fabius, MD, a nationally respected expert in quality and population health. CME is available for the education.
Additional PAMED Resources:
- Primary care medical home video—Find out how this payment model can make patient care more efficient.
- The ACA – Five Years Later video—What we have learned since the Affordable Care Act (ACA) was signed into law on March 23, 2010
- Physician Leadership Education—Includes online courses and live sessions designed to help you drive change and face challenges.
- Physician Quality Reporting System (PQRS) and Value-Based Payment Modifier (VBPM) resources—Learn more about incentives and penalties.
- Learn more about emerging payment models—Access PAMED’s online publication “Life after Fee-for-Service: A Physician’s Guide to Success in Emerging Budget-Based Payment Options.”