Fu­ture un­clear for CMS’ manda­tory value-based ini­tia­tives

Modern Healthcare - - NEWS - By El­iz­a­beth Whit­man

The CMS’ de­ci­sion to de­lay ex­pan­sion of a ma­jor, manda­tory bun­dled-pay­ment pi­lot, the Com­pre­hen­sive Care for Joint Re­place­ment Model, raises ques­tions about the fu­ture of such ini­tia­tives un­der the Trump ad­min­is­tra­tion. These value-based ef­forts were a hall­mark of health­care re­form un­der the Obama ad­min­is­tra­tion, which set the goal of hav­ing half of tra­di­tional Medi­care dol­lars go through al­ter­na­tive pay­ment mod­els by 2018.

HHS Sec­re­tary Tom Price has staunchly op­posed the CMS’ manda­tory ini­tia­tives. The CMS is weigh­ing push­ing back the im­ple­men­ta­tion of all manda­tory bun­dled­pay­ment ini­tia­tives even fur­ther, un­til 2018. The de­lays could ul­ti­mately presage a de­ci­sion by the CMS to make them vol­un­tary, sev­eral ex­perts said.

But, if par­tic­i­pat­ing in these al­ter­na­tive pay­ment mod­els is no longer manda­tory, “you’re go­ing to have a huge se­lec­tion prob­lem,” said Dr. Ashish Jha, a pro­fes­sor of health pol­icy at the Har­vard School of Pub­lic Health. Only providers that be­lieve they can suc­ceed un­der such mod­els will par­tic­i­pate, ul­ti­mately driv­ing up costs, he added.

Newspapers in English

Newspapers from USA

© PressReader. All rights reserved.