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Los Angeles County’s Department of Health Services is betting it can save money while radically improving the health of some of its sickest and most challenging patients. Last March, county health officials began targeting individuals in...
Primary care physicians spend a good many practice hours caring for patients with multiple medical conditions. Family physicians, in particular, are experts at coordinating the care of so-called complex patients. But the term "complex"...
Sylvia Burwell, Secretary of Health and Human Services, recently announced the department’s intention to tie most Medicare fee-for-service payments to value by 2018. Most commercial insurers already incentivize quality to some degree and...
Most family physicians likely have wondered at the end of a particularly frustrating day why certain technologies or systems -- say, for instance, electronic health records (EHRs) -- that were created with the best of intentions to make...
Ask Anthony Stavola, M.D., how adopting the patient-centered medical home model has changed the way he practices medicine, and he’ll answer with a personal anecdote. It involves a patient with newly diagnosed type 2 diabetes and a...
Horizon Blue Cross Blue Shield of New Jersey, along with several of New Jersey's leading health systems and a major multispecialty physician group announced today that they have formed a unique, first-of-its-kind statewide alliance. The...
Expectations were high that accountable care organizations (ACOs) could generate significant savings to Medicare, and the latest report from CMS(www.cms.gov) on their 2014 performance illustrates gradual but continued savings. The 20 ACOs...
On September 8th, 2015, the Patient-Centered Primary Care Collaborative (PCPCC) submitted comments to the Centers for Medicare and Medicaid Services (CMS) on the proposed rule for the 2016 Medicare Physician Fee Schedule. In the letter, ...
Two years ago, leaders of the Buckeye Community Health Plan decided to take action after noting an increasing number of babies in Ohio being born with symptoms that included seizures, rapid breathing and vomiting. They were suffering from...
On April 16, 2015 President Barack Obama signed the Medicare Access and CHIP Reauthorization Act (MACRA) which, among other things, finally repeals the Sustainable Growth Rate (SGR) mechanism of updating fees to the Physician Fee Schedule...
Across the United States health care system, there is a growing imperative to deliver more patient-centered care. Listening to the voice of the patient is increasingly recognized as an essential part of this transformation. Health care is...
In what has long been an annual endeavor, the AAFP once again has meticulously researched CMS' recommendations for the Medicare physician fee schedule for the coming year and sought ways to improve the proposal in family physicians' favor...
More than 1,100 Georgia pediatricians have joined a new physician-led network that aims to improve quality of care and eventually contract for payments from insurers. The sign-ups represent roughly one-third of the pediatricians...
Telemedicine is about reaching out to patients in remote locations, but limited to videoconferencing between patients and health providers. It is similar to a face-to-face service with the exception that the patient and primary care...
For the second year, the CMS has awarded bonuses to 1 in 4 accountable care organizations working under a Medicare model intended to spur providers to deliver lower-cost care. They will share $422 million out of the $833 million they...
Until this year, it was impossible for healthcare consumers in North Carolina to find out the average out-of-pocket cost for medical and surgical procedures. But in January, Blue Cross and Blue Shield of North Carolina unexpectedly...
It won’t be the new Merit-Based Incentive Payment System (MIPS) that’ll attract most doctors under the so-called “doc fix” law that replaced Medicare’s notorious sustainable growth rate (SGR) formula, an official with a physician managed...
Over the last 10 years, Blue Cross Blue Shield of Michigan, together with hospitals, physicians and care providers across the state, have collaboratively improved clinical quality, efficiency and health outcomes, saved lives and directly...
As the July issue of Health Affairs recognized, Medicaid has become a hotbed for health care transformation, with states increasingly turning to Accountable Care Organizations (ACOs) and medical homes to reduce costs and improve care...
Five years ago, New Orleans attorney Ermence Parent was struggling to find out what was wrong with her leg. She was 58 years old, and her right leg hurt so much that she needed a cane. That was not only painful, but frustrating for a woman...

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