The Department of Health and Human Services (HHS) has indicated that it expects to move away from voluntary value-based payment models. In recent remarks, Centers for Medicare & Medicaid Services (CMS) Administrator Seema Verma said, “Looking forward, you can expect that some of the models we have under development will be mandatory.”
Verma noted that participation in models like BPCI Advanced have been adversely affected by their voluntary nature. “Selection effects happen when only the providers who would benefit financially from a model choose to participate, thereby reducing the amount of savings that the model can generate,” she said.
“Requiring participation also helps us understand the impact of our models on a variety of provider types, so the data resulting from the model will be more broadly representative,” Verma added.
MedBen President & CEO Kurt Harden said that he’s not surprised by Verma’s comments. “CMS had hoped that the transition to value-based care would be further along by now, and shifting the focus to mandatory models will help to speed up the process,” he said. “It will also produce better data and I believe, better procedural and financial outcomes.”
Whether or not we see more mandatory models down the road, MedBen Analytics is ready to help hospitals, health systems and other providers achieve positive results from their participation. The insights offered through our innovative reporting software platform will enable your organization to ensure the highest level of care while unlocking profit potential.
If you’d like to see a demonstration of our system or want additional information about MedBen Analytics, please call Harden at 888-633-2364 or email kharden@medben.com.