Bloomberg Law
April 25, 2019, 6:40 PM

Some Medicare Payment Models Will Be Mandatory, Official Says

Tony Pugh
Tony Pugh

Medicare Administrator Seema Verma peeled away more layers of the Trump administration’s efforts to move the program from a fee-for-service model to one that bases payments on health outcomes and cost savings in an April 25 speech in Baltimore.

Some of the new payment models driving that transition will be mandatory as the plan moves forward, Verma said.

After unveiling two sets of new voluntary value-based payment models for primary care practices on April 22, Verma said some future models must be mandatory to avoid “selection effects” where only caregivers who benefit financially from the new models participate.

That can ...