In other words, they're going to change the documentation standards for E&M visits, so you'll have a whole NEW set of rules to follow to get paid!https://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2017-Fact-Sheet-items/2017-07-13-2.html
We would like to start a national conversation about improving the healthcare delivery system; how Medicare can contribute to making the delivery system less bureaucratic and complex; and how we can reduce burden for clinicians, providers, and patients in a way that increases quality of care and decreases costs, thereby making the healthcare system more effective, simple, and accessible while maintaining program integrity and preventing fraud.
CMS is soliciting ideas for regulatory, sub-regulatory, policy, practice, and procedural changes to better accomplish these goals. Ideas could include recommendations regarding payment system re-design; elimination or streamlining of reporting; monitoring and documentation requirements; operational flexibility; and feedback mechanisms and data sharing that would enhance patient care, support the doctor-patient relationship in care delivery, and facilitate patient-centered care. Ideas could also include recommendations regarding when and how CMS issues regulations and policies and how CMS can simplify rules and policies for beneficiaries, clinicians, providers, and suppliers.
My personal opinion is they're solving the wrong problem. Until they increase the supply of comprehensive primary care and fix the problem of maldistribution, (by paying fairly for comprehensive primary care and rural care,) they CAN'T improve care. They're pretending that creating tiny incentives, will can get what they want (comprehensive primary care) without paying for it. Simply delusional.Implementing the AAFP APM would be a start; implementing it with HowsYourHealth as the quality measure instead of MIPs, IMO, would be even better. That would be similar to Jean Antonucci's $3/day scheme, but with more complex risk adjustment.What do YOU folks think would be the best way to start fixing the health care financing system?