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Rural hospitals play a vital role in delivering quick emergent care to people in some of the more isolated areas of the country. These institutions provide 24/7 emergency services to rural communities where the next closest hospital could...
Since the American Academy of Pediatrics (AAP), American Academy of Family Physicians (AAFP), American College of Physicians (ACP) and American Osteopathic Association (AOA) issued their Joint Principles of the Patient-Centered Medical...
In 2011, Arkansas embarked on a multi-payer comprehensive payment reform to convert a majority of private and public payments to a value-based purchasing model. An underlying goal of this effort, the Arkansas Payment Improvement Initiative...
The American health care system is slowly moving toward a model of care that emphasizes primary care and prevention, but Marci Nielsen says more needs to be done. It’s something that Nielsen continues to advocate for. She is the CEO of...
Patient-centered medical homes are more likely to improve quality of care and reduce costs when they're coupled with value-based insurance designs. Other necessary ingredients include effective clinical information support systems and a...
As I’ve been discussing in Health Affairs Blog each month, payment reforms can pose a spectrum of financial risk for providers, with financial upside only — such as pay-for-performance programs — on one end, and downside-only models — such...
As an internist, Dr. Carl DeMars specializes in solving puzzling diagnostic problems. For the last three years, as the medical director of Mid Coast Health Services' Accountable Care Organization, he's been practicing that skill in the...
STRICT EMBARGO: 11:00AM EST, Tuesday, April 29th Contact: Staci GoldbergBelle, Analyst, Strategy & Development, 202-417-2076, [email protected] Debra L. Ness, President of the National Partnership for Women & Families, to receive...
In past generations, it wasn’t unusual for a family doctor to make a house call, perform a broad range of medical services and offer emotional as well as clinical support. While the traditional house call may be a thing of the past,...
Consulting firm Mercer has just wrapped up what it terms an intensive primary-care pilot project with a large unidentified Dallas employer. Dallas was the third test of a concept Mercer calls an ambulatory intensive care, or A-ICU. The...
Implementing an electronic health record is a major undertaking at any provider organization, but is especially challenging in an environment without any IT infrastructure or an information services (IS) department. Yet that’s the goal the...
How the country pays for health care is currently at odds with its vision of how health care should be delivered. Traditional fee-for-service health care payments are linked to the volume of visits, rather than the quality of patient-...
How the country pays for health care is currently at odds with its vision of how health care should be delivered. Traditional fee-for-service health care payments are linked to the volume of visits, rather than the quality of patient-...
The American College of Physicians (ACP) today unveiled a High Value Care Coordination Toolkit designed to enable more effective and patient-centered communication between primary care and subspecialist doctors. The American...
The growing population health movement has led insurers and providers to patient-centered medical homes (PCMH), accountable care organizations and other integrated care models to improve the outcomes and reduce the costs for patient...
Even though most adult primary care physicians may not realize it, they each can be seen as a chief executive officer (CEO) in charge of approximately $10 million of annual revenue. Consider that a typical primary care physician has...
Medicare’s release Wednesday of millions of records of payments made to the nation’s doctors comes as the government is looking to find more cost-efficient ways to pay physicians, particularly specialists. The federal government published...
  The Affordable Care Act (ACA) places primary care physicians (PCPs) front and center in the mission to improve the health of Americans, and lower overall healthcare costs. But new ACA-derived payment models that reward value, not volume...
Researchers found 17 practices operating as "medical homes" in Pennsylvania significantly reduced costs for high-risk patients -- countering negative results published last month that looked at the same patient-centered medical home (PCMH...
Results from a three-year study by Independence Blue Cross (IBC) demonstrating reduced costs and utilization for high-risk patients cared for by patient-centered medical homes appear today in The American Journal of Managed Care. The study...

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