News Room

The Medicare Payment Advisory Commission (MedPAC), which regularly calls for greater equity in Medicare payments favoring primary care, recently issued its latest call for payment reform.  MedPAC's report to Congress contains several...
It’s make-or-break time for a Medicare “doc fix” replacement. The House is likely to vote this week on a proposal to scrap Medicare’s troubled physician payment formula, just days before a March 31 deadline when doctors who treat Medicare...
For most of my 18 years as a practicing neurosurgeon, I couldn't fathom working for a health insurance company. What sort of industry, I thought in those pre-2010 days, would be so coldly efficient as to reject anyone with a pre-existing...
Thursday’s proposed repeal of the Sustainable Growth Rate woul give a 5 percent bonus to providers who receive a significant portion of their revenue from an alternative payment model or patient-centered medical home. Participants need to...
For more than 12 years Congress has sought a long-term solution to the flawed sustainable growth rate (SGR) formula. Over this time, the SGR has become one of the most dreaded terms in healthcare policy. It has no friends and is widely...
There are few things that healthcare regulators like more than a good acronym. With alphabet soup like PCMH, ACO, MSSP, VBR, and FFS, it can sometimes be difficult to tell what the real differences are between the various quality and value...
Advocates for primary care were in Albany this week making the case that Governor Andrew Cuomo is cutting Medicaid reimbursements at the same time the state is trying to emphasize its importance. A new round of cuts could take effect as...
The proposed bipartisan House deal to repeal and replace Medicare'shated sustainable growth-rate physician-payment system offers Republicans a chance to make two significant benefit changes they've long sought. Now it remains to be seen if...
Senate Republicans matched their House counterparts Wednesday by releasing a budget blueprint that eliminates deficit spending in a decade and repeals the Affordable Care Act.  But the Senate's plan doesn't fully embrace controversial...
 A new study published last month in JAMA Internal Medicine shows Blue Cross Blue Shield of Michigan's Patient-Centered Medical Home model improved overall cancer screening rates for colon, breast and cervical cancer.  The three-year...
Rose Gutierrez has a big decision to make. Gutierrez, who was diagnosed with breast cancer last spring, had surgery and 10 weeks of chemotherapy. But the cancer is still there. Now Dr. Jasmine Wong, a surgeon at UC San Francisco, is...
Just about everyone in Washington knows that the Medicare SGR formula is about to cut payments to physicians by 21% on April 1, unless Congress overrules it. How many know, though, that primary care physicians are also facing a scheduled...
A permanent "doc fix" plan—negotiated by House Speaker John Boehnerand Minority Leader Nancy Pelosi—will need to gain traction in the coming days if it's going to have a realistic shot at enactment.  That's because both the House and...
The Patient-Centered Primary Care Collaborative (PCPCC) submitted comments to the Center for Medicare and Medicaid Innovation on Advanced Primary Care Model concepts on March 16. In the comments, the PCPCC advocates for the transition from...
Democratic senators would oppose a potential House bipartisan deal preventing cuts in physicians' Medicare payments if it doesn't finance a children's health program for four years, senior Senate Democratic aides said Sunday. The aides...
Medicare patients being treated in patient-centered medical homes (PCMHs) had fewer ED visits than patients not cared for in a PCMH, according to a recent study of primary care practices, federally qualified health centers, and Medicare...
The deadline for Congress to act on the sustainable growth rate is fast approaching, with most policy watchers agreeing another “doc fix” override is likely. If Congress doesn’t act, starting on April 1, physicians who accept Medicare...
A proposed congressional "doc fix" deal will include a permanent repeal ofMedicare's sustainable growth-rate formula and a two-year extension of theChildren's Health Insurance Program with a total cost exceeding $200 billion.  Only a...
Achieving patient-centered medical home recognition takes time, resources, guidance, and a dedication to holistic practice transformation, but the process doesn’t necessarily have to be a single, big-bang effort. While certain criteria...
Aides to top House Republicans and Democrats are trying to negotiate a bipartisan compromise to permanently revamp a law that annually threatens cuts in Medicare payments to doctors, including a 21% reduction set to take effect April 1....

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