Ems System Performance-Based Funding And Reimbursement Model - Finance Committee Draft Advisory Page 19
ADVERTISEMENT
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34Finance Committee DRAFT Advisory
EMS System Performance-based Funding and Reimbursement Model
in public health, public safety, and emergency medical preparedness as government
funded programs. This recognition should take into account the fact that EMS will
continue to be many communities’ healthcare safety net.
• Recommendation 8: FICEMS should develop a position similar to the IOM
recommendation to encourage EMS Systems to optimize economies of scale, system
efficiencies and standards of care through various mechanisms including regionalized
planning activities.
• Recommendation 9: FICEMS should adopt the NAEMSP position that EMS response,
care, and transport should be fairly reimbursed based on the prudent layperson standard
(NAEMSP, 2011). It is also recommended that this position be adopted by CMS and the
States. EMS response reimbursement should not be denied or reduced based on
inappropriate retrospective medical necessity review when EMS has already expended
resources to respond.
• Recommendation 10: FICEMS should develop a position recommending to States that
they adopt legislation to require payers to reimburse EMS providers directly for
emergency medical services provided to patients instead of providers having to collect
insurance payments from patients.
• Recommendation 11: Given the limited feasibility of altering the Social Security Act
and the unique role of EMS Systems in patient outcomes management, a shared savings
model related to EMS performance enhancement and improved patient outcomes, while
preserving the existing payment for transport system, should be explored by FICEMS
utilizing existing Medicare and Medicaid authorities.
March 29,2012
Draft Advisory
19
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business