SGR is Finally on its Way Out. Maybe.

Joe Cantlupe, for HealthLeaders Media , November 7, 2013

This creates an opportunity to develop a "simpler, more harmonized and effective reporting and incentive program," the ACP states. There are also incentives for medical homes by directing Medicare to pay for complex chronic care management services in medical homes, and giving them the highest possible performance score for clinical practice improvement activities under a new value based payments incentive program.

Still, many details have to be worked out, including the various ways that lawmakers will have to consider to pay to replace the SGR.

"The question is what would the alternative payment models look like, because even with ACOs, the Medicare shared savings program, there have yet to be results from those," says Gilberg of MGMA.

"So basically you are designing a value system for Medicare, when people have yet to figure out what are the actual mechanisms to move us away from fee for service. There's a tension there."

As for physicians, they await to see the outcomes in Congress. As one healthcare official told me, "We want to keep the momentum and enthusiasm and getting change in there and have life more predictable for physicians."

Joe Cantlupe is a senior editor with HealthLeaders Media Online.
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