Caravan Health sent a comment letter on CMS’s proposed Medicare Physician Fee Schedule and Quality Payment Program rule for the 2019 performance year. We published our initial thoughts on the proposal in a blog post here. You can see the full comments in our letter here.


The letter reflects our experience supporting ACOs, including many composed of rural health systems focused on population health. We appreciate CMS’s efforts to streamline and simplify billing for physicians but have concerns that the proposed restructure of Evaluation and Management billing creates an incentive for providers to avoid patients with complex health needs. We also urge CMS not to apply a payment reduction to annual wellness visits, which are a cornerstone of population health for Medicare patients.  

Our letter also comments on: 

  • The new code for the virtual check-in 

  • Shared Savings Program quality measure set 

  • Changes to Promoting Interoperability category

 

For questions about Caravan's comment letter, fill out a form to speak with an expert. 

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What ACOs need to know about the MSSP ACO final rule – Pathways to Success

With CMS recently finalizing the MSSP ACO rule, there is a lot for successful organizations to understand. This is one in a series of blog posts explaining the MSSP ACO final rule in greater detail. If you haven’t already, check out the recent webinar hosted by Caravan Health policy experts.

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Final MSSP Rule Details Explained

Caravan Health President Tim Gronniger and Policy Officer LeeAnn Hastings led a webinar to go over the details of the newly published final Medicare Shared Savings Program regulation.

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Shared Savings Program Final Rule

Sliding in just under the wire of the anticipated government shutdown, CMS has released the Shared Savings Program final rule. With the rule, CMS finalized many changes to the ACO program as proposed in August, including an increase from three to five years of participation under a contract and the elimination of tracks 1, 2, and 3 in favor of Basic and Enhanced options.  

ACO, News, Policy