[{"innerBlocks":[],"name":"core\/freeform","postId":993,"blockType":{"name":"core\/freeform","keywords":[],"attributes":{"content":{"type":"string","source":"raw"},"lock":{"type":"object"}},"providesContext":[],"usesContext":[],"selectors":[],"supports":{"className":false,"customClassName":false,"reusable":false},"styles":[],"variations":[],"apiVersion":3,"title":"Classic","description":"Use the classic WordPress editor.","category":"text"},"originalContent":"The value-based transformation in healthcare is not moving quickly enough, and a major reason for the industry\u2019s slow adoption is the difficulty in obtaining health data.

That\u2019s the contention of Seema Verma, administrator of the Centers for Medicare and Medicaid Services, who lamented the country\u2019s lack of progress in transitioning away from fee-for-service.

\u201cValue-based care means upending the current paradigm, and in my view, it\u2019s not happening fast enough,\u201d Verma said in a keynote on Thursday before the National Association of Accountable Care Organizations.

The CMS chief pointed out that just 10 percent of clinicians are participating in Advanced Alternative Payment Models (Advanced APMs) and taking on significant levels of risk.

\u201cNo wonder frustration continues,\u201d Verma told the NAACOS conference. \u201cProviders in value-based models need to know in real time how their patients are doing and where they should be targeting their efforts, but unless they can quickly obtain data on claims and quality from CMS and other payers and providers, they will not know how to succeed in a value-based paradigm.\u201d

In addition, she commented that \u201cproviders also need data on the front end to help them understand how they\u2019re doing before committing to a model.\u201d

Also See<\/b>: CMS launches new data-driven primary care payment models<\/a>

\u201cTechnology, and the sharing of data, underpins the entire move to innovative payment mechanisms,\u201d Verma observed. \u201cWithout effective, open data sharing, providers cannot keep patients healthy. Without data to track patient progress or understand quality, payers cannot tie payment to outcomes.\u201d

To help drive the adoption of alternative payment models, Verma said CMS is modernizing its processes for data sharing.

\u201cTo reduce reporting burden for clinicians, we are encouraging the transmission of data via APIs wherever possible, while ensuring the privacy and security of patient data,\u201d she noted. \u201cFor ACOs specifically, we have developed an API that allows providers to send data directly from their EHR system to CMS\u2019s web interface. I am pleased to say that there were 104 ACOs, or about 16 percent of all ACOs in Medicare, using the API to submit quality reporting data for 2018.\u201d

Further, Verma announced that this summer, CMS will be testing and rolling out a new monthly claims line API to enable ACOs to more easily receive monthly Part A, Part B and Part D claims data.

\u201cThat way, providers can track their beneficiaries\u2019 healthcare utilization and spending at a granular level, and then modify a patient\u2019s care plan in response,\u201d she added.","saveContent":"The value-based transformation in healthcare is not moving quickly enough, and a major reason for the industry\u2019s slow adoption is the difficulty in obtaining health data.

That\u2019s the contention of Seema Verma, administrator of the Centers for Medicare and Medicaid Services, who lamented the country\u2019s lack of progress in transitioning away from fee-for-service.

\u201cValue-based care means upending the current paradigm, and in my view, it\u2019s not happening fast enough,\u201d Verma said in a keynote on Thursday before the National Association of Accountable Care Organizations.

The CMS chief pointed out that just 10 percent of clinicians are participating in Advanced Alternative Payment Models (Advanced APMs) and taking on significant levels of risk.

\u201cNo wonder frustration continues,\u201d Verma told the NAACOS conference. \u201cProviders in value-based models need to know in real time how their patients are doing and where they should be targeting their efforts, but unless they can quickly obtain data on claims and quality from CMS and other payers and providers, they will not know how to succeed in a value-based paradigm.\u201d

In addition, she commented that \u201cproviders also need data on the front end to help them understand how they\u2019re doing before committing to a model.\u201d

Also See<\/b>: CMS launches new data-driven primary care payment models<\/a>

\u201cTechnology, and the sharing of data, underpins the entire move to innovative payment mechanisms,\u201d Verma observed. \u201cWithout effective, open data sharing, providers cannot keep patients healthy. Without data to track patient progress or understand quality, payers cannot tie payment to outcomes.\u201d

To help drive the adoption of alternative payment models, Verma said CMS is modernizing its processes for data sharing.

\u201cTo reduce reporting burden for clinicians, we are encouraging the transmission of data via APIs wherever possible, while ensuring the privacy and security of patient data,\u201d she noted. \u201cFor ACOs specifically, we have developed an API that allows providers to send data directly from their EHR system to CMS\u2019s web interface. I am pleased to say that there were 104 ACOs, or about 16 percent of all ACOs in Medicare, using the API to submit quality reporting data for 2018.\u201d

Further, Verma announced that this summer, CMS will be testing and rolling out a new monthly claims line API to enable ACOs to more easily receive monthly Part A, Part B and Part D claims data.

\u201cThat way, providers can track their beneficiaries\u2019 healthcare utilization and spending at a granular level, and then modify a patient\u2019s care plan in response,\u201d she added.","order":0,"get_parent":{},"attributes":[],"attributesType":{"content":{"type":"string","source":"raw"},"lock":{"type":"object"}},"dynamicContent":""}]

Verma: Move to value-based care slowed by lack of access to data

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