“Ten minutes and focus on her remarks.”
Those were the ground rules for my interview yesterday with Seema Verma, the administrator of the Centers for Medicare & Medicaid Services (CMS).
The topic of her remarks? Quality measurement activities that doctors and other health care providers have to follow to do business with her agency.
Not the most palpitation-producing of subjects, but definitely a headache I gather for some who have to document their submissions.
With an Oct. 30 proposal called Meaningful Measures, the agency plans to weed out some quality reporting that requires providers to document what they’ve been doing – known as process measures – in favor of health outcome measures.
Okay. I understand why you want to trim some of these measures but just what are you going to be doing? I asked her.
“We want to know how many we have, are they really focusing on patient care, how burdensome are those measures in term of collecting them,” she responded.
We also touched on alternative payment models. Medicare wants more doctors to join them and in some cases they then won’t have to submit those quality measures.
The agency is sifting through responses from its “request for information” to the public for ideas on payment models for its innovation center to develop, Verma said. Among the topics for comment in the RFI are prescription drug models, including those that use value-based purchasing arrangements aimed at lowering costs.
“We’re going to be putting out some potential models,” Verma told me. One will be on payment for high-cost drugs, she said.
Another will be on direct primary care, which I found out later has its own coalition. Supporters favor a contract between a patient and a primary care provider that spells out that medical services are for an agreed-upon fee and time period. No billing of third parties.
The agency is taking its deregulatory show on the road--been to Connecticut and Ohio. After I left, Verma and staff were off to Richmond, Va. The 10-minutes were up.
Read my full story here.
Stay on top of new developments in health law and regulation with a free trial to the Health Law Resource Center.
Learn more about Bloomberg Law and sign up for a free trial.
All Bloomberg BNA treatises are available on standing order, which ensures you will always receive the most current edition of the book or supplement of the title you have ordered from Bloomberg BNA’s book division. As soon as a new supplement or edition is published (usually annually) for a title you’ve previously purchased and requested to be placed on standing order, we’ll ship it to you to review for 30 days without any obligation. During this period, you can either (a) honor the invoice and receive a 5% discount (in addition to any other discounts you may qualify for) off the then-current price of the update, plus shipping and handling or (b) return the book(s), in which case, your invoice will be cancelled upon receipt of the book(s). Call us for a prepaid UPS label for your return. It’s as simple and easy as that. Most importantly, standing orders mean you will never have to worry about the timeliness of the information you’re relying on. And, you may discontinue standing orders at any time by contacting us at 1.800.960.1220 or by sending an email to email@example.com.
Put me on standing order at a 5% discount off list price of all future updates, in addition to any other discounts I may quality for. (Returnable within 30 days.)
Notify me when updates are available (No standing order will be created).
This Bloomberg BNA report is available on standing order, which ensures you will all receive the latest edition. This report is updated annually and we will send you the latest edition once it has been published. By signing up for standing order you will never have to worry about the timeliness of the information you need. And, you may discontinue standing orders at any time by contacting us at 1.800.372.1033, option 5, or by sending us an email to firstname.lastname@example.org.
Put me on standing order
Notify me when new releases are available (no standing order will be created)