Subscribe if you want to be notified of new blog posts. You will receive an email confirming your subscription.

Please enter your name.
Please enter a valid email address.

Please check the captcha to verify you are not a robot.

Something went wrong. Please check your entries and try again.

Medicare/Care Coordination

One More Dark Cloud in the Stormy Skies of Medicare DM

Mathematica Research has just released a report: The Evaluation of the Medicare Coordinated Care Demonstration: Findings for the First Two Years.  It’s not pretty.

Section F of the Executive Summary is entitled “Synthesizing the Findings: What Works, and What Doesn’t”.  That section begins:

Given that few of the programs have shown convincing evidence to date of reducing beneficiaries’ need for hospitalizations and saving money or of improving the quality of care received, there is relatively little assessment that can be done yet […]

Healthcare Informatics Webinar — Disease Management (DM): Will Providers Seize the Opportunity to Be Back in Charge?

Next Thursday April 12, Dr. Randy Williams and I will jointly be presenting our perspectives in a webinar entitled:. 

Disease Management (DM): Will Providers Seize the Opportunity to Be Back in Charge?

Click the link for details about the agenda and registration   You can receive a 15% discount by entering the following Promotional Code:   0412VK

AARP On the Fence About Care Coordination Roles

Just in case this particular item hasn’t yet reached the top of your own to read pile, let me bring to your attention recent testimony to the Senate Finance Committee on Medicare Payment of Physician Services.

The testimony was presented on March 1 by Byron Thames, MD, an AARP Board member. With over 35 million members, AARP is the leading nonprofit, nonpartisan membership organization for people age 50 and over in the United States.

Here are my take-away points from Dr. Thames […]

Today’s BFO: How can P4P Work W/O a QB?

Translation  Todays blinding flash of the obvious (BFO): How can you expect pay-for-performance (P4P) programs in Medicare to work with out a designated physician quarterback (QB)?

Please allow me to elaborate.

P4P programs are based on two assumptions:

Patients are assigned to a physician or a practice that will have primary responsibility for their care, and
That a meaningful fraction of the care physicians deliver is for patients from whom they have primary responsibility

Wouldn’t you expect that this would be problematic for older (Medicare) […]

The Cats are Herding!

We’ve all heard the saying that getting doctors to agree is like herding cats.

Well, it’s happening.

Four physician organizations representing 330,000 doctors issued a press release voicing their support for Joint Principles of a Patient-Centered Medical Home. The four groups are the American Academy of Family Physicians (AAFP), the American Academy of Pediatrics (AAP), the American College of Physicians (ACP) and the American Osteopathic Association (AOA).

So?