Medicare Value Based Purchasing Program

Medicare Value Based Purchasing Program Research Paper example
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Medicare Value Based Purchasing Program 13-03-12 Medicare Value Based Purchasing Program Introduction: The term “Value Based Purchasing Program” refers to a set of programs designated at providing varying Medicare payment levels on the basis of the quality and efficiency of the Medicare providers.


The implementation of separate value based purchasing programs for each of the different Medicare providers requires more than just trumpeting the program. The program has different payment levels and efficiency measuring strategies for hospitals, physicians and other practitioners, home health agencies, ESRD providers and facilities, and skilled nursing facilities. (Reichard 2009). The Policy: The Medicare Value based purchasing programs have been formulated in an effort to facilitate the transformation of the Medicare system from a passive payer of claims to an active purchaser of care. The operational infrastructure of RHQDAPU as established by the CMS has been used as a base for the development of Medicare Value based purchasing programs which includes the following provisions: i. As specified by the President’s FY2006 and FY2007 budgets, the value based purchasing programs are budget neutral and are formulated in accordance with the policy recommendations of Institute of Medicine (IOM) and Medicare Payment Advisory Commission (MedPAC). ii. The existing Medicare performance measurements and reporting infrastructure together with RHQDAPU components have been used as a foundation for the structure of Value Based Purchasing Programs. iii. ...
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