tci Medicare Compliance & Reimbursement - 2004 Issue 26

PAY-FOR-PERFORMANCE: Medicare May Soon Pay Extra For Top Quality

What regulators think of pay-for-performance. When it comes to changing Medicare's payment structure, the reform bill may have been just the tip of the iceberg. At least, that's what Senator Max Baucus (D-MT) hopes. New June 23rd legislation introduced by the ranking finance committee member adds onto the National Voluntary Hospital Reporting Initiative -- which links better reimbursement with quality reporting -- by introducing a new payment incentive structure in the Medicare Advantage and End Stage Renal Disease programs. The "Medicare Quality Improvement Act of 2004" would award bonus payments to plans and providers, starting with MA and ESRD...

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