From HMOs and PPOs to ACOs and DPCs: What’s Next?

October 8, 2018Garrett SchmittNo CommentsDPC, HMOs, PPOs

It may come to a surprise for some  that ‘healthcare innovation‘ has been in play for quite some time albeit not fueled by a culture of hacking or disrupting legacy operations principally via technology. Unfortunately a veritable acronym soup of mostly failed initiatives under varying degrees of public, private partnership (PPP) collaborations have been largely…

Medicare Paths to Value-Based Health Care: Which Way is Up?

June 13, 2018Garrett SchmittNo CommentsBCPI Advanced, CMS, CPC+, DPC, Medicare, MIPS, VBHC

If you’re scratching your head about the direction of Value-Based Health Care (VBHC) in Medicare, you’re not alone. The current mix includes a swirl of separate initiatives, some new and others recently re-labeled. As CMS pushes toward VBHC, providers may feel confused and frustrated as concepts emerge that will affect multiple programs. Within the last…

Doctors propose new Medicare direct-contracting model

May 25, 2018Garrett SchmittNo Commentsdirect provider contracting, DPC, Medicare

A group of doctors on Thursday said they have the path forward to help the CMS launch a direct provider contracting (DPC) model. America’s Physician Groups, an association of medical groups, submitted a so-called “third option” proposal, where a provider network would receive Medicare funds up front to manage their patients’ care. The suggestion came…

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