CMS Delivery Systems

CMS is trying to shift away from a simple fee-for-service delivery system to one that not only better controls costs but also improves care quality. In particular, it is categorizing payments to providers as shown in this table (click it to download a PDF): ( If the picture does not open than please download the picture in the bottom where the attachment download)

Look through the CMS Value-Based Programs (Links to an external site.)Links to an external site. (https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Value-Based-Programs/Value-Based-Programs.html) 

 website to learn about this (it includes the image above, as well as descriptions).

Then, in a Word document, write 3 - 5 paragraphs to describe how categories 2, 3, and 4 will change the reimbursement process. You may want to do research on the categories to learn more about them. Think about these questions:

What new kinds of information will medical providers have to provide?

How might the payment model change the way that patient care is managed?

What problems might occur for providers trying to adapt to the new models?