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The medical home has become a widely accepted model for how primary care should be organized and delivered throughout the healthcare system. It is a place where patients are treated with respect and dignity, to enable strong and trusting...
What's one of the most effective ways to get doctors to change their referral and drug-prescribing habits, two of best-known drivers of health care costs? Tap into their competitive sides. That's what CareFirst BlueCross BlueShield CEO...
May 14, 2016    By Glen Stream, MD, FAAFP, MBI As a primary care physician, my responsibility to my patients goes beyond just caring for their physical well-being. My obligation—professional and ethical—is to treat the whole person and...
CMS published a fact sheet detailing the flexibility and support built into the proposed rule for the Medicare Access and CHIP Reauthorization Act for physician practices of 15 or fewer providers. The fact sheet comes in response to an...
May 12, 2016 by Rajiv Leventhal CMS Acting Administrator Andy Slavitt takes questions and comments from an inquiring Congressional committee During a Congressional hearing on May 11, Centers for Medicare & Medicaid Services (CMS)...
By Shannon Muchmore  | May 11, 2016 CMS Acting Administrator Andy Slavitt told lawmakers that the agency's implementation of the new Quality Payment Program will be mindful of reporting burdens on small physician practices and allow for...
By Shannon Muchmore  | May 10, 2016 While healthcare providers are getting ready to implement more value-based payment programs, such as the new Medicare reimbursement system for physicians, regulators are trying to improve and speed up...
Primary care practices will need to adopt some elements of the patient-centered medical home (PCMH) in order to thrive under the new Merit-based Incentive Payment System (MIPS). That’s the view of Nitin Damle, MD, FACP, a Rhode Island...
Continuing our blog series on CMS’s massive proposed rule for the implementation of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), we dedicate this post to examining the Advance Payment Model (APM) provisions of the...
The passage of the Medicare Access and CHIP Reauthorization Act (MACRA) just over a year ago signaled a strong and unique bipartisan agreement to move towards value-based care, but until recently, many of the details surrounding how it...
Editor's Note:  From young physicians considering their first practice model to experienced doctors contemplating a change, the advantages and disadvantages of a new situation can be overwhelming. For this second installment in a series...
A new review of the evidence suggests that patient-centered medical homes can reduce unnecessary use of health-care services and thus health-care costs. Conducted by the Patient-Centered Primary Care Collaborative, a nonprofit membership...
A few years ago, Luberta Whitfield suffered a stroke that left her right side paralyzed. The wheelchair-bound 87-year-old has emphysema and diet-controlled diabetes, is dependent on oxygen, and recently tore the right rotator cuff on her...
CMS issued the 962-page proposed rule Wednesday for the Medicare Access and CHIP Reauthorization Act to reform physician Medicare payments in the wake of the repeal of the sustainable growth rate formula. The proposed rule was met with...
The mother ship has landed. On Wednesday, April 27, the Centers for Medicare and Medicaid Services (CMS) released the highly anticipated proposed rule that would establish key parameters for the new Quality Payment Program, a framework...
By: Andy Slavitt, Acting Administrator, Centers for Medicare & Medicaid Services Dr. Karen DeSalvo, National Coordinator, Office of the National Coordinator for Health IT Seven years ago, Congress passed a law to spur the country to...
April 27 — A regulation proposed April 27 by the CMS would start the move toward a two-track doctor payment system under Medicare beginning in 2019. The goal is to allow physicians who offer higher quality care to be paid more, Andy...
CMS’s new primary care payment model represents an opportunity for physicians practices experienced in care redesign to be compensated for those efforts. It signals to all groups that it’s time to get serious about improving outcomes....
For more than two decades Congress and the federal government have wrestled with how to pay physicians in the Medicare program, which covers forty-seven million Americans. In 2014 Medicare paid physicians and other clinicians around $138...
The federal Centers for Medicare & Medicaid Services recently announced a bold move to accelerate the Comprehensive Primary Care (CPC) program, news that I have been waiting on for a long time. To provide a bit of background, CPC is a...

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