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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March 07, 2019

Medicare Payment, Risk, and Accountable Care

Medicare reimbursement rules are requiring physicians to move from fee-for-service to fee-for-value. Providers may be left wondering how to succeed in value-based payment. Caravan Health is here to explain the changing rules, the ever more complex requirements for health care providers, and the best path forward for success.

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Beyond Tracks and Levels – What Elective Options are Available to ACOs Under the New Rules?

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ACO, Policy