In the News

When it comes to US health care, the adage of “you get what you pay for” does not apply. The US spends more on health care than any other country, but we have lower-quality care and worse outcomes than many nations that spend considerably...
Although the USA spends more on health care despite having worse outcomes than other high-income nations, one area where it underinvests is primary care. Research has shown that higher levels of spending on primary care lead to improved...
States that spend more on primary care have better patient outcomes, including fewer hospitalizations and emergency department visits, a new study concluded. However, spending on primary care remains low throughout the country, according...
Increasing spending on primary care lowers emergency department visits and hospitalizations, according to the Patient Centered Primary Care Collaborative's 2019 Evidence Report. The report from the advocacy group made up of health plans,...
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 United States health care system is at a critical crossroad in its transformation. The foundational importance of primary care in our future health care system cannot be overstated. The undertaking of the collaborative process of...
Suzanne Delbanco dials up Ann Greiner, President and CEO of the Patient-Centered Primary Care Collaborative (PCPCC), to discuss the patient centered medical home (PCMH) model. Ann shares where the PCMH came from, how the concept and use...
“Provider Payment Reform: Right Course, Wrong Students?,” a recent blog post authored by Chris Koller, President of the Milbank Memorial Fund, argues that while delivering high-value care to vulnerable populations is the “right coursework...
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...
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...
(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...
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...
A report released in August gleaned characteristics of successful ACOs from 15 studies on the subject. One was having physicians in leadership roles who act as “clinical champions” and create a culture of shared commitment among clinicians...
Today, as in 1978, the global community grapples with providing basic, essential health care—especially for the most underserved among us, who are often at the margins of society and the center of health tragedies. In the United States,...
For the last eight years, the US health care system, led by Medicare, has been going to school, learning how to do comprehensive provider payment reform. The most important courses have focused on how to improve performance for entire...
PCPCC announced its participation in the Coalition to Improve Diagnosis with the launch of a new initiative, “ACT for Better Diagnosis.” For more information and a list of participating organizations, visit www.BetterDiagnosis.org.
The Patient-Centered Primary Care Collaborative also recently reported that NCQA PCMHs distinguish accountable care organizations (ACOs) that improve from those that do not. The Medicare Shared Savings Program (MSSP) ACOs with more NCQA...
What's the best way forward for Accountable Care Organizations? Evidence shows they should prioritize primary care and advanced models like the Patient-Centered Medical Home (PCMH), declares a new report from the Patient-Centered Primary...
The large savings for physician-led ACOs is a departure from a 2017 evaluation of the MSSP program. That report showed just one-third of ACOs in the program achieved savings, though they outperformed their FFS counterparts on most quality...
Accountable Care Organizations that were launched in part through loans from the CMS saved Medicare $82 million after just one year of operations, according to a federal report released Friday. The CMS spent just $58 million in loans to...

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