Unit 3: Discussion – Value-Based Care to understand the role of Medicare Access and CHIP Reauthorization Act (MACRA) and Merit-based Incentive Payment System (MIPS)

HC 491 Week 3 Discussion | Park University | Assignment Help

Unit 3: Discussion – Value-Based Care

Introduction

You are an office manager for a large private physician practice.  With the recent changes to the fee-for-service model, to a value-based care model, it is important for the physicians to understand the role of Medicare Access and CHIP Reauthorization Act (MACRA) and Merit-based Incentive Payment System (MIPS). These two initiatives will greatly impact provider revenue potential and ultimately profit for the practice.

The managing partners (founding providers) of the practice have asked you to draft a memo to all the providers explaining the key differences between the change from fee-for-service and the quality or value-based care model.  You will need to discuss why value-based care will need to be the new focus for all providers. You should plan to discuss MACRA and MIPS. Traditionally, fee-for-service focuses on the individual patient versus quality or value-based care focuses on outcomes for community-level changes.

Requirements

  • This report should be prepared as a Microsoft™ Word document, and then attached to the unit discussion thread. There is no minimum or maximum in terms of the word count; however, the response should explicitly address all required components of this discussion assignment.
  • The document should not be prepared consistent with the APA writing style (6th edition) except that the in-text citations (if applicable) and references should be properly formatted.
  • The final product should reflect cognitive processing at the knowledge (remember), understanding, and application levels.
  • Refer to Assignments and Grading for more information.

Discussion Due Dates

Criteria

Online Students

Blended Students

Initial post

By Wednesday at 11:59 P.M., CT. 

Five (5) hours prior to the scheduled class session.

Two peer responses

By Sunday at 11:59 P.M., CT.

Directions

Carefully Read: 

Saunders, C. (2018). 4 Steps for Success in a Changing Payment Landscape. HFM (Healthcare Financial Management), 1–7. Retrieved from http://search.ebscohost.com/login.aspx?direct=true&AuthType=shib&db=c9h&AN=131554665&site=eds-live&custid=083-900

Melling, J. (2017). Preparing for Value-Based Payment: Fundamental Change That Encompasses the Revenue Cycle. Hfm (Healthcare Financial Management), 1–5. Retrieved from http://search.ebscohost.com/login.aspx?direct=true&AuthType=shib&db=c9h&AN=122930211&site=eds-live&custid=083-900

  1. Initial Post: Based on their observations, in this scenario, and upon a careful review of the available literature, the student is to consider him or herself an office manager for a large private physician practice.
  2. The student is to prepare a formal memo that will go out to all the providers in the practice.
  3. As a reminder, the student must describe the key differences between the change from fee-for-service and the quality or value-based care model.
  4. You will need to discuss why value-based care will need to be the new focus for all providers.
  5. You should plan to discuss MACRA and MIPS.
  6. Peer Responses: You are expected to read the initial posting of at least TWO peers, and then provide thoughtful comments addressing the following:
  7. Point out what you perceived to be the strengths of the initial posting along with supporting rationale.
  8. Identify specific opportunities for improvement with regard to the content in the initial posting. Furthermore, you should provide a supporting rationale for your stated position, as well as concrete suggestions and guidance intended to strengthen the effectiveness of the content.

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