Alternative Payment Models – Vulnerable or not?
(Room Balboa ABC)
19 Nov 15
7:00 AM
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8:00 AM
Tracks:
Anti-Fraud Technology Solution
With the unprecedented number of Alternative Payment Models being designed by the Centers for Medicare and Medicaid Services and its Innovation Center, the complexity of program vulnerability assessment has become quite challenging. With the introduction of Accountable Care (ACO, AIM, ESCO, Pioneer, Next Gen ACO, PACE), Episode-based Payment Initiative (BCPIs), Primary Care Transformation (CPCI), Medicaid/CHIP Initiatives, Merit-Based Incentive Payment System (MIPS), what’s an investigator to do? These models introduce unique payment methodologies and waivers that could be abused, gamed or defrauded. This dynamic, fast-paced session with summarize the key features of current and future payment models and arm attendees with a working knowledge of how these models are intended to function.