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Policy Analysis

PFB3 - Continuing on the Road to 2030 in Medicare: Maximizing FQHC Provisions in the Medicare Physician Fee Schedule and Moving Towards Value-Based Care

Friday, February 7, 2025
11:00 AM – 12:00 PM ET
Location: Georgetown (M1)
Knowledge Level: Intermediate
Prerequisite: Basic understanding of Medicare (both fee-for-service and value-based care initiatives).
CPE: 1.2
CME: 1.0
CE: 1.0
CEU: 1.0
Session Description: Building off the hit session at 2024 CHI, this session is a part II on how health centers can feel better prepared to meet the Centers for Medicare and Medicaid Services (CMS)' explicit goal that by 2030, all Medicare beneficiaries will be part of a value-based care arrangement. With 11% of health center patients having Medicare coverage, health centers need to understand how to take full advantage of FQHC provisions in the Medicare Physician Fee Schedule in general care and advanced care management to prepare for the transition towards value-based care arrangements. Participants will be able to learn what’s on the horizon in Medicare policy-wise and how to best provide and document all services they’re providing for their Medicare patients to better position themselves in the move towards a value-based care environment.

Learning Objectives:

  • Understand the newly finalized advanced primary care management codes, unbundled general care management services, and value-based care provisions.
  • Learn best practices on how to maximize documentation and billing for these Medicare services.
  • Take back actionable steps on how to better prepare and move towards more value-based care practices in Medicare.