CMS Extends Physician Payment Demonstration Project Citing Early Success

According to an announcement this week, the Centers for Medicare and Medicaid Services (CMS) has extended its 5-year Physician Group Practice (PGP) Payment Demonstration program by another two years.  The extension period commenced on January 1, 2011.

Under the Demonstration program, ten (10) physician group practices had the ability to earn incentive payments based on the quality of care they provided over an established minimum benchmark for each of the quality measures.  All ten groups will participate in the extension. 

The Demonstration participants were successful in the initial 5-year period at meeting most of the quality benchmarks and, according to the announcement, CMS paid $110 million in incentives to seven of the Demonstration participants and four of the groups are to receive incentive $29.4 million of total savings to Medicare of $36.2 million.

CMS has used and intends to continue to use data from the Demonstration project to further shape policy regarding shared savings and Accountable Care Organization (ACO) payment models currently under development.
 

October 5, 2010 Accountable Care Organization Workshop Agenda

One of the few true payment reform models built into the health care reform law passed earlier this year is the Accountable Care Organization (ACO). Unfortunately, absent final regulations implementing the ACO model, very little guidance exists for physicians who are interested in pursuing this model. To that end, tomorrow, October 5, 2010, the Federal Trade Commission, the Office of Inspector General, and the Centers for Medicare and Medicaid Services are sponsoring a workshop to discuss a number of the legal implications of ACOs. A copy of the meeting agenda can be found here: ACO Workshop Agenda. The agenda includes contact information for the workshop via webcast or teleconference.