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Policy Analysis

Value-Based Care/Payment Innovation and Transformation

CSaB1 - The Road to 2030 in Medicare: Utilizing FQHC Provisions in the Medicare Physician Fee Schedule to Transition Towards Value-Based Care

Saturday, August 24, 2024
1:30 PM – 2:45 PM ET
Location: International South
CPE:1.5
CME: 1.25
CE: 1.0
CEU: 1.25
The Centers for Medicare and Medicaid Services (CMS) has explicitly stated that their goal is that by 2030, all Medicare beneficiaries will be part of a value-based care arrangement. Especially because Medicare is the fastest growing patient population for health centers, health centers need to understand how to take full advantage of FQHC provisions in the Medicare Physician Fee Schedule in chronic care management and care coordination to prepare for the transition towards value-based care arrangements. Participants will be able to learn what’s on the horizon in Medicare policy-wise and how to best provide and document all services they’re providing for their Medicare patients to better position themselves in the move towards a value-based care environment.

Learning Objectives:

  • Understand current FQHC provisions in the Medicare Physician Fee Schedule (PFS) in chronic care management and behavioral health, and what is upcoming in the newest Medicare PFS.
  • Learn the best practices on how to maximize documentation and billing for these Medicare services.
  • Recognize how these Medicare services are moving health care towards more value-based care practices in Medicare in preparation for CMS’ intent for Medicare patients to be in VBC by 2030.