Alternative Payment Models and Academy Advocacy for Future Physician Payment

Abstract

Program Description:

The landscape of physician payment is changing, with quality and measures becoming more intertwined with how payment is and will be provided for services. This miniseminar will outline the efforts of our Academy, specifically the Physician Payment Policy Workgroup (3P) and the Ad Hoc Payment Model Workgroup, to prepare members for the implementation of the Affordable Care Act, so that otolaryngologists have the tools to participate in diverse payment systems. Topics include new public and private payment models including bundling and the importance of measures in the future of quality and payment initiatives.

Educational Objectives:

(1) Discuss payment models as they relate to health care reform initiatives, new payment models, and Academy efforts to prepare members for changes in reimbursement. (2) Describe how existing measure sets (adult sinusitis and acute otitis externa) were developed for otolaryngology, tracking, and reporting and how these measures affect reimbursement. (3) Recognize the Academy’s efforts to interact and collaborate with public and private payers related to alternative payment model options and opportunities for otolaryngologists.