patients to search for better value is going to
reward only those facilities that are prepared
for how they'll be paid in the future."
Quality pays off
CMS's pay-for-performance reimbursement
model — reimbursing higher amounts to
hospitals that meet certain quality measures
— is currently mandated in the inpatient
setting, but free-standing outpatient facili-
ties are likely to have future payments tied
to quality outcomes (see "Mandatory
Quality Reporting Program Postponed
Again" on page 14).
"We've already started down the pay-for-per-
formance path and if the trend continues,
there's no doubt that it will eventually impact
ASCs," says anesthesiologist David Shapiro,
MD, CASC, risk manager at Red Hills Surgical
Center in Tallahassee, Fla., and past president
of the Ambulatory Surgery Center
Association. "I'm just not completely sure
what that will look like."
He believes it would be fairly straightfor-
ward to transition to pay-for-performance
based on the metrics ASCs already report to
the federal government as part of the CMS's
Ambulatory Surgical Center Quality Reporting
Program (ASCQRP). CMS implemented the
program to promote higher quality, more effi-
2 0 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • J A N U A R Y 2 0 1 8
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