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In Illinois, an MSSP ACO Proves its Worth Once Again

January 16, 2018Garrett SchmittNo CommentsACO, CMS, Medicare, Medicare Shared Savings Program, MSSP

In late October, the Centers for Medicare & Medicaid Services (CMS) announced that Downers Grove, Ill.-based Advocate Health Care, the largest health system in the state, and its affiliated Medicare accountable care organization (ACO), Advocate Physician Partners Accountable Care, Inc., realized $60.6 million worth of cost savings in 2016. Ranking second in savings of 432…

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…