Category Archives: Physician Organizations

Advanced Primary Care Initiatives Reduce Hospital Admissions, ED Visits: CMS

Preliminary findings from two advanced primary care initiatives from CMS show decreased hospital admissions and emergency department (ED) visits, CMS officials report. The two large-scale tests of advanced primary care—the Comprehensive Primary Care (CPC) initiative and the Multi-Payer Advanced Primary … finish reading Advanced Primary Care Initiatives Reduce Hospital Admissions, ED Visits: CMS

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Physician Thought Leaders of Tomorrow Must Be Willing to “Rock the Boat”

What kind of individuals are best equipped to engage and lead other physicians in the coming years? Those who are willing to “rock the boat,” and then hold on to the sides of the boat even as it sinks, says … finish reading Physician Thought Leaders of Tomorrow Must Be Willing to “Rock the Boat”

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Nearly 20 Million Misdirected Physician Referrals Lead to Billions in Wasteful Spending

Nearly 20 million misdirected physician referrals in the United States could be leading to billions of dollars in wasteful spending across the country’s healthcare system, according to a new physician survey from Kyruus, an enterprise healthcare solutions company. Massive inefficiencies … finish reading Nearly 20 Million Misdirected Physician Referrals Lead to Billions in Wasteful Spending

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CMS Releases Data on Financial Relationships Between Healthcare Industry, Doctors, Teaching Hospitals

Designed to help consumers understand the financial relationships between healthcare industry officials, physicians and teaching hospitals, and promote transparency and accountability, CMS has released the first round of Open Payments. The program, created by the Affordable Care Act (ACA), lists … finish reading CMS Releases Data on Financial Relationships Between Healthcare Industry, Doctors, Teaching Hospitals

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Kaiser Permanente, Johns Hopkins Enhance Strategic Collaboration to Improve Care Quality

Under a new collaboration, Kaiser Permanente and Johns Hopkins Medicine will expand ways to deliver quality care by sharing evidence-based best practices, advancing population health programs, collaborating on education and research endeavors, and exploring how the organizations can work together … finish reading Kaiser Permanente, Johns Hopkins Enhance Strategic Collaboration to Improve Care Quality

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Patient Engagement Still Challenges Pioneer ACO

As a top performer in year one of the CMS Pioneer ACO program, Monarch HealthCare is paving the way to accountable care with a foundation of patient- and provider-centered strategies that support Triple Aim goals. Here, Colin LeClair, executive director … finish reading Patient Engagement Still Challenges Pioneer ACO

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6 Best Practices from Highmark’s Pay-for-Performance Project

Identifying a physician champion, one that is truly leading the charge, is one the six elements of a best practice project of a pay-for-performance program, says Julie Hobson, RN, BSN, manager of provider engagement, performance and partnership at Highmark Inc. … finish reading 6 Best Practices from Highmark’s Pay-for-Performance Project

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3 Ways Hospitals Should Proceed with ACOs

Deciding which physicians you want to partner with, and how you will provide them with an opportunity that’s attractive enough so they will partner with you, is one of the steps hospitals need to take when proceeding with an ACO, … finish reading 3 Ways Hospitals Should Proceed with ACOs

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WellPoint’s Transformation Challenge: ‘Leave No Primary Care Practice Behind’

With the goal of rolling its physician transformation program out to 75 percent of its practices within the next three years, one of the biggest challenges — or opportunities — is leaving no primary care practice behind, explains Julie Schilz, … finish reading WellPoint’s Transformation Challenge: ‘Leave No Primary Care Practice Behind’

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BCBSM-Munson Contract Embraces Value-Based Reimbursement Approach

Munson Healthcare and Blue Cross Blue Shield of Michigan (BCBSM) are launching a new value-based hospital reimbursement agreement in northern Michigan designed to improve patient care and medical outcomes while also enhancing efficiency and holding down the cost of care. … finish reading BCBSM-Munson Contract Embraces Value-Based Reimbursement Approach

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