The document outlines the timeline for implementing value-based payment modifiers (VBM) for physicians from 2012 to 20??. It shows that in 2012, feedback on quality and resource use was provided to physicians, but few downloaded their reports. In 2013, VBM was implemented through rulemaking. In 2015, VBM would begin applying penalties to select physicians for non-adoption of PQRS and meaningful use. By 2017, VBM would apply to all physicians and consider additional measures like patient safety, experience, and care coordination in the future.
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
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
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