ACO Economics 101: Optimize the Physician Network For Patient Choice

April 4, 2018Garrett SchmittNo CommentsAdvanced Alternative Payment Models, APMs, Attribution, Risk, Value based contracts

The inaugural MIPS 2017 submission period closed in a fog of uncertainty. The demise of MIPS looms on the horizon, with little discussion of opportunities for improvement. Heath and Human Services Secretary Azar has advocated for removing the quality reporting component of MIPS, while the Medicare Payment Advisory Committee (MedPAC) recommended scrapping MIPS altogether and pushed…

7 things to know about physician-only ACOs

March 8, 2018Garrett SchmittNo CommentsAMA, APM, APMs, Physician Led

Physician-only ACOs have been leaders in quality and achieving real savings since the inception of the Medicare Shared Savings Program, according to an AMA resource. Here are seven things to know. 1. According to a CMS fact sheet, the number of ACOs participating in the various tracks of the MSSP increased from 480 in 2017…

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…

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