The Centers for Medicare and Medicaid Services, or CMS, has released a document titled “Roadmap for Implementing Value Driven Healthcare in the Traditional Medicare Fee-for-Service Program” to serve as guidance on the CMS’s present and future plans for integrating value-based purchasing into its various payer programs. The document is a useful resource for understanding how the CMS reimbursements may change in the future for all types of medical service providers. This article seeks to highlight some of the programs and initiatives described in the CMS document.
The CMS notes in the document’s introduction that the CMS has shifted from being a “passive payer of services into an active purchaser of higher quality, affordable care.” This is a theme that the CMS seems to be trying to push through its various payment programs. The CMS’s goal through its payment programs is the “creating of appropriate incentives encouraging all healthcare providers to deliver higher quality care at lower total costs.” The document outlines the various key projects and programs that have begun to incorporate this concept of value-based purchasing and the CMS’s goals (over the next three to five years) for restructuring the CMS’s fee-for-service programs utilizing value-based purchasing principles.
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