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Value-Based Modifiers:
Timeline for Physicians
VBM Timeline for Physicians

2012
VBM Timeline for Physicians

2012


          Penalties begin for
       unsuccessful ePrescribing
           adoption in 2011
VBM Timeline for Physicians

2012

  Feedback from 2011 Quality &
Resource Use Reports for Medicare
          FFS given to
       100,000 physicians
VBM Timeline for Physicians

    2012

                                Now, they will
                               identify specific
Feedback from 2011 Quality &   measures of cost
  Resource Use Reports for
    Medicare FFS given to
     100,000 physicians
                               & quality (VBM)
VBM Timeline for Physicians

2012

       CMS initiates plan to
       align Meaningful Use
        with EHR Reporting
             and PQRS.
VBM Timeline for Physicians

2012


ISSUE: Only 3,300 of 23,730 physicians
   have downloaded their feedback
          report from 2010
VBM Timeline for Physicians

     2012

                                               Physicians
                                              unmanaged?

ISSUE: Only 3,300 of 23,730 physicians
   have downloaded their feedback
          report from 2010
VBM Timeline for Physicians

     2012
                             Physicians
                            unmanaged?
                                                 GAO to CMS:
                                                   Physician
ISSUE: Only 3,300 of 23,730 physicians          awareness must
   have downloaded their feedback               be heightened!
          report from 2010
VBM Timeline for Physicians

2013
VBM Timeline for Physicians

2013



  Performance period for 2015
  Value-Based Modifiers begins
VBM Timeline for Physicians

2013



       VBM implemented
       through rulemaking
VBM Timeline for Physicians

2013



Performance data published on
  Physician Compare website
VBM Timeline for Physicians

2013
               http://www.medicare.gov/find-a-
                  doctor/provider-search.aspx




Performance data published on
  Physician Compare website
VBM Timeline for Physicians

2015
VBM Timeline for Physicians

2015

     CMS applies VBM to select
   physicians and physician groups
    (selection to-be-determined
            in rulemaking)
VBM Timeline for Physicians

2015

          Penalties begin for
       non-adopters of PQRS and
            EHR technology
         under Meaningful Use
VBM Timeline for Physicians

2015

          Penalties begin for
       non-adopters of PQRS and
            EHR technology
         under Meaningful Use



                  AAHHH!!!
VBM Timeline for Physicians

2017
VBM Timeline for Physicians

2017



     VBM is applied to ALL
 physicians and physician groups
VBM Timeline for Physicians

   2017

                Prevention



    VBM is applied to ALL
physicians and physician groups
VBM Timeline for Physicians

   2017
                                  Wellness

        Prevention




    VBM is applied to ALL
physicians and physician groups
VBM Timeline for Physicians

   2017
                      Wellness       Long-term
                                      healing
        Prevention




    VBM is applied to ALL
physicians and physician groups
VBM Timeline for Physicians

   2017
                      Wellness
                                                   Medical Home
        Prevention
                                 Long-term
                                  healing




    VBM is applied to ALL
physicians and physician groups
VBM Timeline for Physicians

   2017
                                              Medical
                      Wellness                Home


        Prevention
                                 Long-term
                                  healing               Proactive Care

    VBM is applied to ALL
physicians and physician groups
VBM Timeline for Physicians

   2017
                                                              Proactive Care
                                              Medical
                      Wellness                Home


        Prevention
                                 Long-term
                                  healing




    VBM is applied to ALL                               Reimbursement
physicians and physician groups
VBM Timeline for Physicians

20??


       Measures for Future
         Rulemaking?
VBM Timeline for Physicians

   20??

Hospitalization rates for
   ambulatory care-
 sensitive conditions
VBM Timeline for Physicians

   20??

Hospitalization rates for
   ambulatory care-
 sensitive conditions


              Care coordination and
           Transitions of Care measures
VBM Timeline for Physicians

   20??
                                 Patient Safety
Hospitalization rates for      Patient Experience
   ambulatory care-           Functional Measures
 sensitive conditions


              Care coordination and
           Transitions of Care measures
VBM Timeline for Physicians

   20??
                                 Patient Safety
Hospitalization rates for      Patient Experience
   ambulatory care-           Functional Measures
 sensitive conditions


              Care coordination and       Episodes of Care
           Transitions of Care measures

More Related Content

Value-Based Modifiers: Timeline for Physicians

  • 2. VBM Timeline for Physicians 2012
  • 3. VBM Timeline for Physicians 2012 Penalties begin for unsuccessful ePrescribing adoption in 2011
  • 4. VBM Timeline for Physicians 2012 Feedback from 2011 Quality & Resource Use Reports for Medicare FFS given to 100,000 physicians
  • 5. VBM Timeline for Physicians 2012 Now, they will identify specific Feedback from 2011 Quality & measures of cost Resource Use Reports for Medicare FFS given to 100,000 physicians & quality (VBM)
  • 6. VBM Timeline for Physicians 2012 CMS initiates plan to align Meaningful Use with EHR Reporting and PQRS.
  • 7. VBM Timeline for Physicians 2012 ISSUE: Only 3,300 of 23,730 physicians have downloaded their feedback report from 2010
  • 8. VBM Timeline for Physicians 2012 Physicians unmanaged? ISSUE: Only 3,300 of 23,730 physicians have downloaded their feedback report from 2010
  • 9. VBM Timeline for Physicians 2012 Physicians unmanaged? GAO to CMS: Physician ISSUE: Only 3,300 of 23,730 physicians awareness must have downloaded their feedback be heightened! report from 2010
  • 10. VBM Timeline for Physicians 2013
  • 11. VBM Timeline for Physicians 2013 Performance period for 2015 Value-Based Modifiers begins
  • 12. VBM Timeline for Physicians 2013 VBM implemented through rulemaking
  • 13. VBM Timeline for Physicians 2013 Performance data published on Physician Compare website
  • 14. VBM Timeline for Physicians 2013 http://www.medicare.gov/find-a- doctor/provider-search.aspx Performance data published on Physician Compare website
  • 15. VBM Timeline for Physicians 2015
  • 16. VBM Timeline for Physicians 2015 CMS applies VBM to select physicians and physician groups (selection to-be-determined in rulemaking)
  • 17. VBM Timeline for Physicians 2015 Penalties begin for non-adopters of PQRS and EHR technology under Meaningful Use
  • 18. VBM Timeline for Physicians 2015 Penalties begin for non-adopters of PQRS and EHR technology under Meaningful Use AAHHH!!!
  • 19. VBM Timeline for Physicians 2017
  • 20. VBM Timeline for Physicians 2017 VBM is applied to ALL physicians and physician groups
  • 21. VBM Timeline for Physicians 2017 Prevention VBM is applied to ALL physicians and physician groups
  • 22. VBM Timeline for Physicians 2017 Wellness Prevention VBM is applied to ALL physicians and physician groups
  • 23. VBM Timeline for Physicians 2017 Wellness Long-term healing Prevention VBM is applied to ALL physicians and physician groups
  • 24. VBM Timeline for Physicians 2017 Wellness Medical Home Prevention Long-term healing VBM is applied to ALL physicians and physician groups
  • 25. VBM Timeline for Physicians 2017 Medical Wellness Home Prevention Long-term healing Proactive Care VBM is applied to ALL physicians and physician groups
  • 26. VBM Timeline for Physicians 2017 Proactive Care Medical Wellness Home Prevention Long-term healing VBM is applied to ALL Reimbursement physicians and physician groups
  • 27. VBM Timeline for Physicians 20?? Measures for Future Rulemaking?
  • 28. VBM Timeline for Physicians 20?? Hospitalization rates for ambulatory care- sensitive conditions
  • 29. VBM Timeline for Physicians 20?? Hospitalization rates for ambulatory care- sensitive conditions Care coordination and Transitions of Care measures
  • 30. VBM Timeline for Physicians 20?? Patient Safety Hospitalization rates for Patient Experience ambulatory care- Functional Measures sensitive conditions Care coordination and Transitions of Care measures
  • 31. VBM Timeline for Physicians 20?? Patient Safety Hospitalization rates for Patient Experience ambulatory care- Functional Measures sensitive conditions Care coordination and Episodes of Care Transitions of Care measures