The American College of Physicians proposed replacing Medicares current fee-for-service payment system for physicians with a combination of bundled payments to encourage better coordination of care, service-based fees and performance-based reimbursement. Under the ACP plan, physician practices certified by a third-party as patient-centered would receive prospective or scheduled, risk-adjusted payments to provide a package of patient-centered services. In addition, Medicare should provide predictable, positive updates to physician reimbursement, incorporating incentives for quality improvement and replacing the sustainable growth rate formula now used, the ACP said. The college plans to meet with Senate Majority Leader Harry Reid (D-Nev.) and other lawmakers to discuss its proposal, said Robert Doherty, the ACPs senior vice president for governmental affairs and public policy. A forthcoming Medicare demonstration project also will test elements of the ACP model, and announcements will be made soon regarding private-sector pilots, Doherty said. Read more about the ACP plan. -- by Jennifer Lubell
ACP releases Medicare doc-pay plan
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