Supporters favor a contract between a patient and a primary care provider that spells out that medical services are for an agreed-upon fee and time period. No billing of third parties.
“Ten minutes and focus on her remarks.” Those were the ground rules for my interview yesterday with Seema Verma, the administrator of the Centers for Medicare & Medicaid Services (CMS). The topic of her remarks? Quality measurement activities that doctors and other health care providers have to follow to do business with her agency. Not the most palpitation-producing of subjects, but definitely a headache I gather for some who have to document their submissions. With an Oct. 30 proposal called Meaningful Measures, the agency plans to weed out some quality reporting that requires providers to document what they’ve been doing – known as process measures – in favor of health outcome measures. Okay. I understand why you want to trim some of these measures but just what are you going to be doing? I asked her. “We want to know how many we have, are they really focusing on patient care, how burdensome are those measures in term of collecting them,” she responded.