Urogyn Practice Management Course 2017-AUGS Alternative Payment Model: SUI Model Discussion and Feedback (1)

Video Transcription

Video Summary

The video features Jerry Lauder and John Shepard reporting on the work of the OGS Payment Reform Committee regarding alternative payment models (APMs) for stress urinary incontinence (SUI). The committee consists of volunteers from OGS, including private practice and academic professionals. Their goals include educating committee members on APM development and gaining expertise in APM execution as defined by CMS. They aim to establish OGS as a resource for developing APMs for the society and educate members about physician payment reforms. The committee's first charge is to create an APM for SUI, followed by teaching members how to implement APMs in their communities. They will need to constantly monitor the regulatory environment and collaborate with other committees to advance their goals. The committee has been working on creating clinical scenarios for the evaluation and treatment of SUI. They have compiled various scenarios into categories and analyzed the steps and costs associated with each scenario. The video also discusses cost-effectiveness modeling and how it can determine the weighted cost of different treatment pathways. The committee aims to identify steps that can be reimbursed, such as nurse education and post-operative phone calls, and decrease costs in other areas. The next steps include finalizing the APM model, seeking input from relevant committees and SIGs, reviewing and commenting on the APM with the board and membership, and eventually meeting with payers and submitting to CMS.

Meta Tag

Category practice management

Session 189680a

Keywords

alternative payment models

stress urinary incontinence

APM development

physician payment reforms

clinical scenarios

cost-effectiveness modeling

reimbursable steps