Up to this point in time, much of a Value Based Purchasing has been focused on inpatient care. While the overall goal is to improve health care delivered to patients in all aspects of care, much of the focus has been on hospitals as the driving force. Physicians have been evaluated on an outpatient basis and data has reported. Much of his data looks that EMR meaningful use. Future plans for MIPS and MACRO will begin to tie reimbursement to some of these measures. Hospitals have been delegated to the role of gatekeepers by trying to decreased readmissions and improving outpatient follow-up from their side. Accountable care organizations have been one means to bring together the entirety of the patient experience on both the in and out patient
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Currently physicians are required to document parameters such as checking a hemoglobin A1c, discussing tobacco cessation, checking lipid profiles, and many other parameters and screening test. Merely discussing with the patient’s tobacco cessation and checking a box, does not improve patient health or outcomes. There needs to be measurable results in improvement of these indicators. Therefore, I would propose that instead of merely checking whether these measures have been accomplished, that physicians will be scored on improvements in these areas, not merely whether or not they have been completed. By measuring improvements and not just threshold level, this will hopefully prevent providers from selecting patient’s based on their demographics. While achievement points used in the HVBP, would still be useful, a higher emphasis will be placed on improvement points. This was further incentivized practitioners to take on higher risk patients with lower scores to see improvement in the scores. It should be noted that we are not evaluating the overall scores and averages of physicians and practices but directly comparing individual patient’s improvements from one year to the …show more content…
However, based on current HVBP it is likely that this AVBP will be successful to decrease cost in increased outpatient quality of care. Current meaningful use has shown an increase in compliance with the measurement of the proposed domains. This AVBP builds on current meaningful use and will begins to evaluate care based of the metrics currently being monitored. Currently metrics are being measure as to whether they are being addressed, but not whether there has been improvement in data or outcomes. Through this new VBP, we will begin to monitor improvement and outcomes. Thus achieving our goal of improving health care. Since these measure are already being addressed under meaningful use, This new addition should not have an affect on measure that are currently not being measured. It should consume little increased resource and cause minimal strain on practices. Furthermore it is believed that there may be spillover”” and metric not being measure will be evaluated and improved by physician in order to better improve on the metric being
Currently physicians are required to document parameters such as checking a hemoglobin A1c, discussing tobacco cessation, checking lipid profiles, and many other parameters and screening test. Merely discussing with the patient’s tobacco cessation and checking a box, does not improve patient health or outcomes. There needs to be measurable results in improvement of these indicators. Therefore, I would propose that instead of merely checking whether these measures have been accomplished, that physicians will be scored on improvements in these areas, not merely whether or not they have been completed. By measuring improvements and not just threshold level, this will hopefully prevent providers from selecting patient’s based on their demographics. While achievement points used in the HVBP, would still be useful, a higher emphasis will be placed on improvement points. This was further incentivized practitioners to take on higher risk patients with lower scores to see improvement in the scores. It should be noted that we are not evaluating the overall scores and averages of physicians and practices but directly comparing individual patient’s improvements from one year to the …show more content…
However, based on current HVBP it is likely that this AVBP will be successful to decrease cost in increased outpatient quality of care. Current meaningful use has shown an increase in compliance with the measurement of the proposed domains. This AVBP builds on current meaningful use and will begins to evaluate care based of the metrics currently being monitored. Currently metrics are being measure as to whether they are being addressed, but not whether there has been improvement in data or outcomes. Through this new VBP, we will begin to monitor improvement and outcomes. Thus achieving our goal of improving health care. Since these measure are already being addressed under meaningful use, This new addition should not have an affect on measure that are currently not being measured. It should consume little increased resource and cause minimal strain on practices. Furthermore it is believed that there may be spillover”” and metric not being measure will be evaluated and improved by physician in order to better improve on the metric being