By Mindy Yochelson
See full article in Bloomberg
Five very different alternative payment models are being critiqued by a federal committee to determine if they could become options for paying physicians under Medicare. The five are the first to be submitted to the Physician-Focused Payment Model Technical Advisory Committee (PTAC) and range from limited inclusion of professionals who just deal with a specific clinical condition, such as lung disease, or a population, such as individuals with advanced illness. The models, if approved, could expand options for doctors who want to move away from being paid under traditional fee-for-service Medicare. Instead, they would be part of an entity that would hold them responsible for cost and quality of care and potentially reward them for good performance. Providers in eligible models must use certified technology, report quality measures comparable to measures developed by the Medicare agency, and bear financial risk in excess of a nominal amount. Read More >>