February 23rd 2024
While adopting new payment models can come with challenges, there are strategies that can help oncology practices optimize their approaches, said Kathy Oubre, MS, CEO of Pontchartrain Cancer Center.
February 14th 2024
The Present and Future of Genetic Testing Availability and Spending
May 9th 2018Since March 2014, nearly 14,000 genetic tests have entered the market, with about 10 new tests appearing daily. A study published in Health Affairs sought to clarify unanswered questions surrounding genetic testing markets, test usage, and health policy implications.
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Dr Mark Friedberg: Clinician Burnout and Reorganization of the Practice
May 7th 2018Practice reorganization can worsen clinician burnout, explained Mark Friedberg, MD, MPP, senior natural scientist and director of the Boston office at RAND Corporation, who also discussed his solutions for addressing burnout in the practice.
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Mostashari, Gilfillan Highlight the Spillover Effect of ACOs Across the Entire Healthcare System
May 4th 2018Farzad Mostashari, MD, of Aledade, and Richard Gilfillan, MD, of Trinity Health, highlight the successes of accountable care organizations (ACOs) and how they've impacted care across the healthcare system, and offered suggestions for improving the Medicare Shared Savings Program.
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NAACOS Releases Survey Showing Concerns With MSSP Model
May 3rd 2018The National Association of Accountable Care Organizations (NAACOS) said Wednesday that a survey it conducted showed 71% of respondents indicated they are likely to leave the Medicare Shared Savings Program (MSSP) due to concerns over having to assume risk.
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OCM Performance Period One Initial Reconciliation
May 1st 2018CMS has released the first round of reconciliation data from the Oncology Care Model (OCM) bundled payment program. Interestingly, some of the practices that did well were surprised to learn they they’d achieved savings, and some participants were pleased to find out that their level of performance met expectations.
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The US Cannot Afford to Put Off the Move to Value-Based Care Any Longer, Panelists Say
May 1st 2018A shift in care delivery and the availability of data are helping to make value-based care a reality in the United States, but the change has been taking too long, said panelists at the 15th Annual World Health Care Congress.
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This Week in Managed Care: April 27, 2018
April 27th 2018This week, the top managed care stories included an announcement from CMS of creating direct provider contracting, plus a broad set of proposed rules for health information technology; new recommendations to improve postpartum care; a look at future competition among specialty drugs.
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Navigating the Rocky Waters to Value-Based Healthcare
April 26th 2018Problems in healthcare seem overwhelming, with at least 17 different factors cited as driving unsustainable spending, according to a presentation at the Academy of Managed Care Pharmacy’s Managed Care & Specialty Pharmacy Annual Meeting held April 23-26, in Boston, Massachusetts. Two executives from Precision for Value LLC spoke about “Charting the Shifting Value-Based Healthcare Landscape: Emerging Developments for 2018 and Beyond” and offered their view on what healthcare companies can do to succeed.
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CMS: "Meaningful Use" Is Out, "Interoperability" Is In
April 25th 2018In an effort to make good on its plans to give patients more control over their health information as well as reduce the number of quality measures healthcare providers have to report, CMS announced changes in both of those areas Tuesday.
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Dr Kathleen Blake Discusses the Impact Healthcare Industry Changes Have on Burnout
April 23rd 2018Recent changes in the healthcare industry can both contribute to and exacerbate clinician burnout, but can also improve the situation, said Kathleen Blake, MD, MPH, vice president for Performance Improvement at the American Medical Association.
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Dr Ray Page Discusses the Surprise of the First OCM Results
April 23rd 2018Ray Page, DO, PhD, president and director of research at The Center for Cancer and Blood Disorders and chair-elect of the American Society of Clinical Oncology’s (ASCO) Clinical Practice Committee discusses the first results of the Oncology Care Model (OCM) and ASCO’s top legislative priorities.
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Humana Launches Bundled Payment Model to Improve Maternity Outcomes and Cost
April 22nd 2018Humana has launched a new maternity bundled payment model with 5 practices in Indiana, Kansas, Ohio, and Texas to improve quality, outcomes, and cost across the entire perinatal episode of care for women with low- to moderate-risk pregnancies.
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This Week in Managed Care: April 20, 2018
April 20th 2018This week, the top managed care stories included a new bill in Congress to tackle the opioid epidemic; an analysis that warns against including drug costs in bundled payment models; the FDA commissioner shares ideas to improve innovation and access to next-generation sequencing.
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Dr Mark Friedberg Recognizes the Importance of Addressing Underlying Causes of Burnout
April 19th 2018"If clinicians are burning out, it is unlikely that participation in new payment models will be sustainable," explained Mark Friedberg, MD, MPP, senior natural scientist and director of the Boston office at RAND Corporation.
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Doctors Call for Halt, Revamp to Quality Measures Used by CMS
April 19th 2018The majority of quality measures for ambulatory internal medicine in Medicare's Merit-based Incentive Payment System (MIPS) program are not valid based on criteria developed by the American College of Physicians (ACP), which called for a "time out" to assess and revise the approach to assessment of physician performance.
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Bundled Payments That Include Drug Costs Would Penalize Practices Based on Patient Mix
April 18th 2018An analysis of a hypothetical bundled payment that included drug costs would unfairly penalize practices based on patient mix and could destabilize the cancer care delivery environment, according to research published in the Journal of Oncology Practice.
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Congress, Medical Societies Move on Ways to Attack Opioid Problem
April 18th 2018Two different approaches to attack the opioid-fueled substance use disorder crisis are on display this week, as Congress readies itself for action on more legislation, while 2 major medical organizations focused on payment models in order to deliver improved care.
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Avalere Consultants Untangle the MIPS Conundrum for Oncologists
April 13th 2018Richard Kane and Caroline Pearson, both from Avalere Health, provided oncologists gathered at the 2018 Community Oncology Conference an overview of reimbursement programs offered by CMS and advice on navigating them.
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Progress With Risk-Based Agreements Failing to Keep Pace With Expectations
April 11th 2018The third annual population health survey from Numerof & Associates found that healthcare organizations have not made as much progress to transition to risk-based agreements as they predicted they would 2 years ago.
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