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Few provider groups benefited from CMS’s value-based payment program

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Data from the Centers for Medicare & Medicaid Services show that few provider practices benefited from the agency’s Value-Based Payment Modifier program.

13,813 physician groups were eligible to compete for the pay bump, but only 128 group practices will see their Medicare reimbursement rise by 16 percent or 32 percent, with the higher percentage going to practices with the most high-risk patients.

The fact that so few practices benefit from VBM could indicate an inherent flaw in the program’s methodology, Anders Gilberg, senior vice president of government affairs for the Medical Group Management Association, told Modern Healthcare.

“These results show that getting a reimbursement increase is akin to winning the lottery. This just isn’t a meaningful system.”

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