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MedPAC Backs Bid to Scrap MIPS Medicare Pay System Amid Dissent

January 11, 2018Garrett SchmittNo CommentsMedicare, MedPAC, MIPS, Physician Compensation

WASHINGTON — Members of an influential federal advisory panel sparred here today over a recommendation that would direct Medicare to scrap its fledgling Merit-based Incentive Payment System (MIPS) and instead implement a new approach for tying reimbursement to judgements about value of care. The Medicare Payment Advisory Commission (MedPAC) voted 14 to 2 in favor…

Specialty Group Works to Boost Physician Well-Being and Satisfaction

January 10, 2018Garrett SchmittNo CommentsPhysician Engagement, physician Satisfaction

A Health Affairs blog article co-authored this past year by 10 prominent health system CEOs describes the problem of physician burnout as a national public health crisis and “a matter of absolute urgency.” The numbers support their contention.  The Medscape Lifestyle Survey 2017 reveals that 51 percent of physicians report experiencing this energy-depleting affliction, characterized…

Massachusetts launches the nation’s first accountable care certification program

January 8, 2018Garrett SchmittNo CommentsACO

Massachusetts has launched a new accountable care certification program designed to implement statewide, all-payer standards as part of care delivery. The program, the first of its kind in the country, is already off to a strong start, according to the Massachusetts Health Policy Commission (HPC), which announced it has certified 17 organizations, including hospitals, health systems and physician groups….

Identifying Big Data Sources for Population Health Management

January 3, 2018Garrett SchmittNo CommentsBig Data, Population Health

Effective population health management is beginning to require healthcare providers to rely heavily on big data derived from both their own health IT systems and from their business partners. Identifying patients at high risk of developing chronic diseases or falling away from maintenance protocols is a significant challenge for many organizations, but is quickly becoming…

2017: The year telehealth and digital health hit their stride

December 20, 2017Garrett SchmittNo CommentsTelehealth, Telemedicine

2017 has undoubtedly been a standout year in the realms of telemedicine and digital health. In telehealth alone, much has happened over the past 12 months. A new law in Texas officially gave physicians permission to utilize telemedicine services to treat patients they haven’t met in person, quashing a previous requirement that physician-patient relationships had…

How CMS Improves Primary Care Payments Through Codes, APMs

December 13, 2017Garrett SchmittNo CommentsAPMs, Billing, CMS, Physician Compensation, Primary Care

New medical billing codes for non-face-to-face encounters and alternative payment models are trying to change the way Medicare reimburses for primary care, according to researchers at the Urban Institute’s Health Policy Center. The report, supported by the Robert Wood Johnson Foundation, showed that CMS aims to find the right payment amount and structure to reimburse…

Is a “medical virtualist” specialty on the horizon?

November 30, 2017Garrett SchmittNo CommentsTelehealth, Telemedicine

Telemedicine and digital health are on the rise. Additionally, as the medical field advances, more and more specialties are being added to the mix. These factors prompted two physicians — Michael Nochomovitz and Rahul Sharma — to pen a JAMA viewpoint article on the potential behind a new specialty: the medical virtualist. “This term could be used to…

Creating Provider, Patient Engagement in Value-Based Care Models

November 27, 2017Garrett SchmittNo CommentsPatient Engagement, Patient Satisfaction

On the journey toward more value-based care, healthcare professionals must use team-based strategies to appropriately allocate resources, prevent provider burnout, and deliver on quality metrics. Organizations must create both provider and patient engagement to truly deliver value and ensure both stakeholders are meaningful members of the care team. At the Value-Based Care Summit held in…

3 traits of successful ACOs: A focus on internal culture, population health and continuous improvement

November 16, 2017Garrett SchmittNo Comments

Forming an accountable care organization is one of the most common strategies healthcare organizations use to transition to value-based care, and several key characteristics and tactics from the most high-performing ones can help other providers build their own successful programs, according to a new report. The Health Care Transformation Task Force studied 11 ACOs across the country by interviewing key…

CHRONIC Act, which expands Medicare coverage for telemedicine, passes in Senate

September 27, 2017Garrett SchmittNo CommentsCHRONIC Act, Telehealth, Telemedicine

Senate Bill 870, the Creating High-Quality Results and Outcomes Necessary to Improve Chronic Care Act of 2017, or CHRONIC Act for short, has passed in the Senate by a unanimous vote. Among other things, the bill, which was originally introduced in April by Senator Orrin Hatch (R – Utah), includes provisions that would expand Medicare coverage for telemedicine. Full…

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