CMS launches new pilot program to test out value-based primary care in 8 states

[Northeast Agent]

https://www.fiercehealthcare.com/pr...am-test-out-value-based-primary-care-8-states

The agency announced Thursday a new primary care model will be tested under the Center for Medicare and Medicaid Innovation (CMMI) in Colorado, Massachusetts, Minnesota, New Jersey, New Mexico, New York, North Carolina and Washington starting next summer.

The model also will advance CMS' broader ambitions to boost the adoption of value-based care as a way to improve the quality of care and health outcomes of patients while reducing Medicare and Medicaid expenditures. CMMI has set a goal of having every Medicare beneficiary in a value-based care relationship by 2030.

"CMS expects this work to lead to downstream savings over time through better preventive care and reducing potentially avoidable costs, such as repeat hospitalizations," CMS officials said.

 

[somarco]

From your link . . .

The model will kick off July 2024 and participants, which include federally qualified health centers, Indian Health Service facilities and tribal clinics, will receive enhanced payments to shift from fee-for-service payment models and to better coordinate care.

https://www.fiercehealthcare.com/pr...am-test-out-value-based-primary-care-8-states

Why does this sound like a repeat of the Tuskegee experiment?

Shocking as it may seem, U.S. government doctors once thought it was fine to experiment on disabled people and prison inmates. Such experiments included giving hepatitis to mental patients in Connecticut, squirting a pandemic flu virus up the noses of prisoners in Maryland, and injecting cancer cells into chronically ill people at a New York hospital.

[EXTERNAL LINK] - Ugly past of U.S. human experiments uncovered

 

[Truce]

From the link: "The model includes a progressive three-track approach based on participants’ experience level with value-based care and alternative payment models. Participants in track one will focus on building infrastructure to support care transformation.

In tracks two and three, the model will include certain advance payments and will offer more opportunities for bonus payments based on participant performance. This approach will support clinicians across the readiness continuum in their transition to value-based care, furthering CMS’ goal to ensure 100% of traditional Medicare beneficiaries are in a care relationship with accountability for quality and total cost of care."

So they are going to teach doctors how to run their business, without the doctors being federal employees. Eventually will they just funnel more primary care docs into federal programs with medical school loan forgiveness as the carrot? I am not passing judgement, just always curious how the USA mix of public funding /private providers is going next.

The current system of incentivizing docs to monetize every old, sick person ain't exactly perfect for the patients or the taxpayer.

 

[goillini52]

From your link . . .

The model will kick off July 2024 and participants, which include federally qualified health centers, Indian Health Service facilities and tribal clinics, will receive enhanced payments to shift from fee-for-service payment models and to better coordinate care.

https://www.fiercehealthcare.com/pr...am-test-out-value-based-primary-care-8-states

Why does this sound like a repeat of the Tuskegee experiment?

Shocking as it may seem, U.S. government doctors once thought it was fine to experiment on disabled people and prison inmates. Such experiments included giving hepatitis to mental patients in Connecticut, squirting a pandemic flu virus up the noses of prisoners in Maryland, and injecting cancer cells into chronically ill people at a New York hospital.

[EXTERNAL LINK] - Ugly past of U.S. human experiments uncovered

And then there's Canada.

[EXTERNAL LINK] - Euthanasia Is Now A Leading Cause Of Death In Canada, And Ethicists Are Freaking Out

 

[InsuranceGuy29]

And then there's Canada.

[EXTERNAL LINK] - Euthanasia Is Now A Leading Cause Of Death In Canada, And Ethicists Are Freaking Out

America: “It’s called value-based care. It rewards doctors for keeping people healthier and living a longer, healthier, fuller life.”

Canada: “DIE, YOU PIECE OF SH*T!!!!”

Ah, just more of the “joys” of of a country where the corrupt and evil government has total and complete control of your healthcare and there are no private options that give people choices. Please tell me more about your “free” healthcare, Canadians.”