Summary
With the release of the Medicare Physician Fee Schedule, CMS finalized another mandatory innovation model called the Ambulatory Specialty Model (ASM) focused on specialists who treat traditional Medicare patients for heart failure or low back pain.
In my discussion with Luis Argueso, partner at InHealth Advisors, he sketched out what the impact might be for a cardiologist. What’s interesting to me is that it’s starting to look like real money— not life changing, but 7% of collections isn’t nothing.
Luis is going to walk us through the model, its mechanics, and his view of what it means for specialty doctors in the coming years.
Check out the conversation below!
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What we covered:
00:00 Introduction and overview
00:48 Medicare Physician Fee Schedule and Ambulatory Specialty Model
01:35 Program Mechanics and Eligibility
05:08 Payment Model and Adjustments
13:53 Success Drivers in the New Model
19:30 Challenges and Opportunities for Small Practices
23:24 Rural health and value-based care models
26:12 Opportunities for technology companies and startups
28:52 Conclusion and Contact Information