CMS proposes new mandatory ambulatory specialty model (low back pain)
Started by DrSwede
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More hoops to jump through to take care of people
Probably increases costs
Probably increases costs
That sounds like MIPS but even worse. It would incentivize opioids because those are cheap, and patients will swear up and down on the patient-reported outcomes measures it requires that the pills are improving their function.
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i mean i already do this kind of treatment, but i have absolutely no interest in to being forced to perform in this particular manner.
Thanks for sharing this. I think I keep up with everything but had not seen that. Hopefully, my urinal parts company takes off so I can retire from this BS.
What are we going to do....
Fly around the country selling urinal components.
So the provider list is out. For those of us selected, what are you all doing to prep for this/not get worse reimbursements
Where is the list?
what does it mean if one of your work colleagues is not on the list?
pray
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I'm on it.
I need to read up on this. No idea what this is...
WTF does this mean:
CMS would provide enhanced data feedback to participants and require them to implement: • Collaborative Care Arrangements with primary care • Preventive care screening in partnership with primary care • Support for lifestyle changes and health-related social needs screening in partnership with primary care • Health information exchange data sharing
I need to read up on this. No idea what this is...
WTF does this mean:
CMS would provide enhanced data feedback to participants and require them to implement: • Collaborative Care Arrangements with primary care • Preventive care screening in partnership with primary care • Support for lifestyle changes and health-related social needs screening in partnership with primary care • Health information exchange data sharing
Any of you in a position where you are selected but spine surgeons who work in your office were not?
second the sentiment: WTF are we supposed to do? I read into this model and the way it works is that you absorb the costs and medical decision making of those upstream that referred to you as well as those downstream if you refer to surgeon in future as long as your collections is >30% of the episode summary.
How do we avoid a negative reimbursement especially if you are the only person in a group with spine surgeons and other pain physicians who are impacted?
second the sentiment: WTF are we supposed to do? I read into this model and the way it works is that you absorb the costs and medical decision making of those upstream that referred to you as well as those downstream if you refer to surgeon in future as long as your collections is >30% of the episode summary.
How do we avoid a negative reimbursement especially if you are the only person in a group with spine surgeons and other pain physicians who are impacted?
The name is also related to the practice name on the list. Is your current practice name listed.
If you dont see Medicare then you have no worries. A 10 percent reduction on zero is zero.
Centers for Medicare & Medicaid Services Data
data.cms.gov
Centers for Medicare & Medicaid Services Data
data.cms.gov
we are in rural WA state and are part of WISER but not on this list yet.
Not on the list, I guess I'm not a baller like y'all.
Me neither thank goodness!
I did not feel the love either.
Any one else looking into this? I am on this list and half the people in our academic group. Lots of people in my area seem to be on. Our spine surgeons are not.
Tables below is from Claude. Attestation seems straightforward. Right now we only have ODI in our intake, but looks like we will need ot change our EMR to include depression screening and PROM as well.
Yep, as expected it looks like a giant waste of time that will accomplish no clinical benefit to patients. But it will accomplish CMS’s goal of lowering our payments. (Though ironically will probably cost more money overall when they outsource all the data collection and analysis to some crony’s AI company).
