New care models aim to reduce the primary care-specialist pay gap.
for primary care by increasing the Medicare Physician Fee Schedule conversion factor and fix the onerous prior authorization process for Medicare Advantage plans.streamlining quality measures across its value-based payment programs, announcing a Universal Foundation of measures with strong supporting evidence for improved patient outcomes in common conditions.
limiting quality assessment to a core set, rather than treating the Universal Foundation as a"building block" to which additional measures could be added, increasing the burden on clinicians., targeted to independent rural practices, federally qualified health centers, and Indian Health Service clinics in eight states. The pilot will run from July 2024 to December 2034.
With the Making Care Primary model, CMS is signaling that it recognizes that there is no"one size fits all" approach to primary care financing that supplants fee-for-service.
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