Geographic Population-Based Payment (PBP) Model Option Request for Information (RFI)

May 30, 2019

Submitted via [email protected] Mr. Adam Boehler

Centers for Medicare & Medicaid Services 7500 Security Boulevard
Baltimore, MD 21244

Re: Geographic Population-Based Payment (PBP) Model Option Request for Information (RFI)

Dear Deputy Administrator Boehler:

Scale: blessing or burden for statewide ACOs?

A handful of accountable care organizations are moving to cover an entire state, but not everyone thinks bigger is better when it comes to population health management.

Caravan Health, a company that works with ACOs, last week announced the launch of its second statewide program, this time in Florida. In the model, any of the 200-some Florida Hospital Association facilities that want to participate can join together to provide coordinated care.

News Author: 
Rebecca Pifer

MedPAC’s March 2019 Public Meeting

Medicare's role in the supply of primary care physicians

MedPAC’s March 2019 Public Meeting 

Medicare's role in the supply of primary care physicians (Ariel Winter, MPP) 

News Author: 
Alyssa Neumann Kane

Azar says new mandatory oncology pay model is coming

(Story updated at 3:57 p.m. ET)The CMS plans to unveil a mandatory Medicare payment model for cancer patients, and two new voluntary models for cardiac care in the coming weeks, said HHS Secretary Alex Azar. That means the Trump administration is reversing course from its prior stance that payment models, which put providers at risk of losing money if they don't lower costs of care, should be voluntary."Real experimentation with episodic bundles requires a willingness to try mandatory models," Azar said at the Patient-Centered Primary Care Collaborative Conference on Thursday.

News Author: 
Virgil Dickson

Azar Announces Mandatory Oncology Payment Model Is Coming

A mandatory payment model is coming in oncology care, HHS Secretary Alex Azar said Thursday during an appearance at a value-based care summit.

Azar said that the administration would “revisit” mandatory models that it had previously scrapped in cardiac care and said the time had come for “exploring new and improved episode-based models in other areas, including radiation oncology.”

News Author: 
Mary Caffrey and Allison Inserro

HHS Secretary Azar: HHS Is Planning New Mandatory Bundled Payment Models

The Centers for Medicare & Medicaid Services (CMS) is revisiting mandatory bundled payment models, possibly for radiation oncology and cardiac care, according to Health and Human Services Secretary Alex Azar, which signals a strong about-face in the Trump Administration's policy about bundled payment initiatives.

HHS is reexamining the role that mandatory bundled payment models can play in the transition to value-based care, Azar said in a keynot speech at the Patient-Centered Primary Care Collaborative Conference on Thursday. HHS published Azar's comments.

News Author: 
Heather Landi

The (Family) Doctor Isn’t In: Millennials Are Rejecting Primary Care Physicians

For six years during her 20s, Tara Carter didn’t have a primary care doctor.

To her, it wasn’t an efficient use of her time.

First, she had to take time off work and sit in a doctor’s office, where she’d shell out her copay and answer a ton of questions.

And often she’d be referred to a specialist, where she’d repeat the process over again.

For minor health problems, such as sinus infections, she used retail walk-in or urgent care clinics instead.

News Author: 
Shawn Radcliffe

PCPCC Awarded the Patient-Centered Outcomes Research Institute’s (PCORI) Eugene Washington Award

Call for Advisory Council Member Volunteers

PCPCC received $250,000 from the Eugene Washington PCORI Engagement Award in June 2018. The award will fund a 17-month project entitled, Promoting Patient-Centered Outcomes Research (PCOR) Dissemination.

PCPCC Expands Employer Perspective of its Board of Directors

WASHINGTON, DC – The Patient-Centered Primary Care Collaborative (PCPCC), a leading primary care advocacy organization, today announced that Bill Kramer, the Executive Director for National Health Policy at the Pacific Business Group on Health (PBGH), has joined its Board of Directors

Leveraging PCMH Evidence to Make the Case for Greater Investment in Primary Care

The Patient-Centered Primary Care Collaborative’s mission is to promote primary care to achieve the quadruple aim.   A key strategy to achieve this mission is the Patient-Centered Medical Home (PCMH) which  has been widely adopted across the country. One in five primary care physicians practice in a PCMH where they engage in team-based, collaborative care.

News Author: 
Ann Greiner
Chris Adamec


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