Nov 16, 2021
Bronwyn Spira is the CEO of Force Therapeutics which is supplying tools to manage procedure-based care. CMS created CMMI, the Centers for Medicare and Medicaid Innovation to evaluate new alternate payment models and service delivery models that were designed to reward high-value, high-quality care while also reducing payments. They would reduce the payments to clinicians who were not meeting the performance standards but preferentially reimburse high-quality and high-value providers. And these were called alternate payment models or APMs.
Bronwyn explains, "I think the important key here is that in order to reward quality, you first have to be able to measure quality and collect quality measures. So this is where patient-reported outcome measures and performance measures become so key. You actually now need those measures to submit for reimbursement based upon the services you're providing."
"And this has changed provided behavior in a big way because before these APMS were implemented, a lot of providers actually didn't even have organized ways to collect or report quality measures, patient-reported outcomes. Some of them were using pieces of paper or mailing them to patients' homes and then spending a lot of money on nurses or medical assistants who would then have to input the data into some kind of a system."
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