Value Based Reimbursement

Quality of care over quantity of care…..and way faster than anyone expected. That’s the heart of the message in a recent announcement by the U.S. Department of Health and Human Services (HHS) that 30 percent of Medicare payments are now tied to alternative payment models, such as Accountable Care Organizations or ACOs.


Instead of simply paying doctors for services, (the) Centers for Medicare and Medicaid Services (CMS) now encourages public and private sector healthcare providers to base their payments on quality measures, such as patient outcome and access to care.

The most common of these models are known as Accountable Care Organizations (ACOs), in which groups of doctors, hospitals and specialists voluntarily coordinate care.

A recent story in Healthcare Finance News points out that the goal of hitting the 30 percent milestone was reached “nearly a year ahead of schedule, according to HHS, which touts the fact that more than 10 million Medicare patients are now getting higher-quality and more coordinated care.” quoted HHS Secretary Sylvia Mathews Burwell as saying, “”The (Affordable Care Act) law gives us the tools to put patients at the center of their care, improve quality and help make care more affordable over the long term.” Government officials say Medicare now spends $117 billion out of a projected $380 billion on providers in pay-for-performance programs.

We want to hear what you think about this news and what you believe it will mean for Medicare patients in Arizona. Finding innovative solutions that allow people to receive the care they need will bring us closer to our goal to one day make Arizona the Healthiest State in the Nation!


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