PERC - Timeline - 2012

Thursday, April 11, 2013 03:03 PM

Develop a physician value-based payment modifier for Medicare to provide differential payment based upon quality and cost of care provided

• Implementation date: At the latest HHS must publish cost and quality measures by Jan. 1, 2012. Payments will be affected in 2015 based on 2014 performance data.

Improve Medicare’s Physician Resource Use and Measurement Reporting Program to provide physicians and group practices with reports that compare resource use patterns

• Implementation date: Jan. 1, 2012

Develop an episode grouper that combines separate but clinically related items and services into an episode of care for an individual and use it for public reporting

• Implementation date: No later than Jan. 1, 2012

Allow shared savings in Medicare costs by providers organized as accountable care organizations (ACO)

• Implementation date: Jan. 1, 2012
• How to create an ACO executive summary by Center for Healthcare Quality and Payment Reform

Create Medicaid demonstration projects on bundled payment for episodes of care, global capitation for safety net hospitals and pediatric ACOs

• Implementation date: Begins Jan. 1, 2012, and ends on Dec. 31, 2016

Establish hospital value-based purchasing program (VBP) in Medicare, develop plans for VBP in ambulatory surgical centers

• Implementation date: Oct. 1, 2012
• Background slide deck from MedPAC

Reduce Medicare payments for preventable hospital readmissions

• Implementation date: Beginning with hospital discharges on or after Oct. 1, 2012

Adopt single set of operating rules on electronic funds transfers and health care payment and remittance

• Implementation date: rules adopted July 1, 2012; effective Jan. 1, 2014