Future considerations for clinical dermatology in the setting of 21st century American policy reform: The Medicare Access and Children's Health Insurance Program Reauthorization Act and Alternative Payment Models in dermatology - 14/12/17
, Jeffrey J. Miller, MD, MBA b, Harrison P. Nguyen, BA c, f, Howard P. Forman, MD, MBA d, Jean L. Bolognia, MD c, e, Marta J. VanBeek, MD, MPH gGroup for Research of Policy Dynamics in Dermatology
Abstract |
With the introduction of the Medicare Access and Children's Health Insurance Program Reauthorization Act, clinicians who are not eligible for an exemption must choose to participate in 1 of 2 new reimbursement models: the Merit-based Incentive Payment System or Alternative Payment Models (APMs). Although most dermatologists are expected to default into the Merit-based Incentive Payment System, some may have an interest in exploring APMs, which have associated financial incentives. However, for dermatologists interested in the APM pathway, there are currently no options other than joining a qualifying Accountable Care Organization, which make up only a small subset of Accountable Care Organizations overall. As a result, additional APMs relevant to dermatologists are needed to allow those interested in the APMs to explore this pathway. Fortunately, the Medicare Access and Children's Health Insurance Program Reauthorization Act establishes a process for new APMs to be approved and the creation of bundled payments for skin diseases may represent an opportunity to increase the number of APMs available to dermatologists. In this article, we will provide a detailed review of APMs under the Medicare Access and Children's Health Insurance Program Reauthorization Act and discuss the development and introduction of APMs as they pertain to dermatology.
Le texte complet de cet article est disponible en PDF.Key words : Alternative Payment Models, bundled payment, dermatology, health care reform, Medicare Access and Children's Health Insurance Program Reauthorization Act, Merit-based Incentive Payment System, payment reform
Abbreviations used : AAD, ACO, APM, CMS, MACRA, MIPS, PTAC
Plan
| Funding sources: None. |
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| Conflicts of interest: None declared. |
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| Reprints not available from the authors. |
Vol 76 - N° 6
P. 1213-1217 - juin 2017 Retour au numéro
Article précédent
- Future considerations for clinical dermatology in the setting of 21st century American policy reform: The Medicare Access and Children's Health Insurance Program Reauthorization Act and the Merit-based Incentive Payment System
- John S. Barbieri, Jeffrey J. Miller, Harrison P. Nguyen, Howard P. Forman, Jean L. Bolognia, Marta J. VanBeek, Group for Research of Policy Dynamics in Dermatology
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