July 30-Aug. 3: As CMS Offers MIPS Review, Physicians Urge Its Preservation
July 26—Members of Congress and some physician leaders urged the continuation of Medicare’s Merit-based Incentive Payment System amid growing calls for its elimination. However, many agreed the system needs changes.
Medicare Physician Pay Rule Targets Reporting Burden
July 17—Physician advocates are hailing a range of Medicare policy changes that were included in a recently proposed payment rule and are aimed at reducing clinicians’ administrative burden.
Physician Distribution, Mobility, Fair Market Value and Compensation Surveys
An analysis of regional differences in physician compensation coupled with the general tendency against long-distance relocation shows there is no truly national market for established physicians. Rather, local market conditions must be considered in setting fair market value.
Choosing the Right Path Forward for Value-Based Care
Thomas Schenk, MD, of BlueCross BlueShield of Western New York describes the health plan’s approach to supporting primary care physicians with a capitated payment system that accounts for local-market characteristics.
Creating APMs for Specialty Care: A Provider-Led Initiative for Delivering Value
The experiences of a large urology group practice can provide finance leaders with insight into key considerations involved with developing an advanced alternative payment model (APM) for a healthcare specialty area.
Ask the Experts: CJR Physician Gain Sharing Agreements
Are boilerplate CJR physician gain sharing agreement templates available or should agreements be created from scratch?
Contracting for Primary Care and Value Improves Patient Outcomes and Lowers Costs
Humana offers primary care practices four types of value-based contracts, but also customizes plans that emphasize population health or other initiatives.
Value Initiative for IPA Performance Proves Its Worth
John Baackes, CEO of L.A. Care Health Plan, describes the plan’s approach to assessing the value of independent practice associations to ensure high-quality member service.
MACRA Improvements Coming, CMS Official Says
March 13—A series of regulatory changes are coming to the Medicare physician payment system this year, including an effort to ease quality-data reporting by hospital-employed physicians.
Few Physicians Support Value-Based Models: Survey
Jan. 31—Most physicians are unconvinced that high-profile value-based payment models will either control costs or improve patient health outcomes, according to a recent survey.