News Room
September 19, 2016
Current fee-for-service (FFS) payment rates for physician visits trace to the origins of Blue Cross Blue Shield insurance in the 1930s. At that time, rates were set that paid generously for hospitalizations and for procedures, such as...
September 15, 2016 | Modern Healthcare
To get more doctors to embrace value-based payments, the CMS wants to team up with states to launch multi-payer efforts that could qualify as alternative payment models under the Medicare Access and CHIP Reauthorization Act (MACRA). But...
September 14, 2016 | Health IT Analytics
A concerted nationwide effort to improve care quality and reduce preventable hospital readmissions has produced a rapid drop in the number of patients who return to the hospital within 30 days of discharge, boasts new data from CMS.
In a...
September 14, 2016
This year is the five-year anniversary of the implementation of the health home model in Missouri and Rhode Island – the states that were the earliest adopters. As these models hit the five-year mark, I think there are four key questions...
September 14, 2016 | Healthcare Finance News
For small practices like those run by Jean Antonucci in Farmington, Maine, succeeding under new MACRA regulations will all boil down to the details. Unfortunately with MACRA, there are just so many she is just one of the many small...
September 12, 2016
For the eighth consecutive year, Blue Cross Blue Shield of Michigan and its physician partners are leading the nation in advancing the patient-centered medical home model of care, as 1,638 practices, comprised of 4,534 physicians, have...
September 8, 2016
The CMS on Thursday announced it will allow providers to choose the level and pace at which they comply with the new payment reform model aimed at emphasizing quality patient care over volume.
The announcement comes after intense pressure...
September 6, 2016 | Patient-Centered Primary Care Collaborative
On September 6, 2016, the Patient-Centered Primary Care Collaborative (PCPCC) submitted comments to the Centers for Medicare and Medicaid Services (CMS) on the proposed rule for the 2017 Medicare Physician Fee Schedule.
In the letter, the...
August 25, 2016 | CMS
The Centers for Medicare & Medicaid Services (CMS) today announced the 2015 performance year results for the Medicare Shared Savings Program and the Pioneer Accountable Care Organization Model that show physicians, hospitals, and...
August 23, 2016
FOR IMMEDIATE RELEASE
August 23, 2016
PCPCC Names Recipients of 2016 Advanced Primary Care Leadership Awards
Paul Grundy, MD, MPH; Salvatore Volpe, MD; and Edward Wagner, MD, MPH; to receive distinguished awards at PCPCC Annual Fall...
August 23, 2016 | Washington Post
Lee Gross is worried. He has practiced family medicine in North Port, Fla., near Sarasota, for 14 years. But he and two partners are the last small, independent medical group in the town of 62,000. Everyone else has moved away, joined...
August 22, 2016 | Healthcare Dive
On Aug. 1, CMS announced 14 regions selected for a five-year medical home model, Comprehensive Primary Care Plus (CPC+). The aim is to give doctors the freedom to decide what types of care will deliver the best outcomes for their patients...
August 22, 2016
A new study published in The American Journal of Managed Care reviewed de-identified medical and pharmacy claims data of more than 1.2 million patients one or more of the most expensive chronic diseases: high blood pressure, diabetes and...
August 18, 2016 | Healthcare IT News
Whether accountable care organizations are living up to the lofty expectations of healthcare executives and federal policy makers is a matter of rising debate.
Proponents contend that the early evidence points to increased care quality....
August 18, 2016 | Health Affairs Blog
For several decades, there has been a general consensus that the nation would benefit from an increased supply of primary care practitioners, including physicians. Most reform efforts to improve health care, including the Affordable Care...
August 15, 2016 | Psychiatric Services
Abstract
The purpose of this Open Forum is to highlight strategies that can be implemented by federal health care policy makers to improve the delivery of effective behavioral health care services in the public and private sectors. The...
August 15, 2016 | D'Youville College
The D’Youville College School of Health Professions will partner with the University at Buffalo Jacobs School Of Medicine and Biomedical Sciences on a project to strengthen the primary care workforce. The two institutions will develop...
August 13, 2016 | MedPage Today
A recent study in Health Affairs shows that purchased goods and services in healthcare, followed by nurse and physician compensation, were the principal drivers of overall increases in U.S. healthcare spending that reached 72% from 1997 to...
August 13, 2016
Mary Ellen Wolf, BSN, RN, CDE, has been a diabetes educator for more than 20 years, but in 2014 her role changed: she joined Healthways, which contracts with insurers to bring the patient-centered medical home (PCMH) model into primary...
August 13, 2016 | Modern Healthcare
Hospital boardrooms are beginning to sound more like those on Wall Street, with talk of upside and downside risk, capitation and a hefty addition of new acronyms.Hospitals, health systems and physician groups are now in the process of...
