Published in American Journal of Managed Care As physicians, the health of our patients is always our first consideration. But unfortunately, patients aren’t always permitted to benefit from the treatment plan that physicians prescribe. Some patients are forced to try one or more medications that end up not helping them before insurers will allow the […]
High-quality, integrated care delivered in the independent medical practice setting is worthy of protection as an alternative to care that is often more costly when furnished in the hospital setting. Read more...
Integrated models of care allow for better coordination across specialties, translating into higher quality, lower cost and more accessible care for patients. Read more...
Recent data, including 2009-2013 Medicare data relating to the cost and utilization of anatomic pathology (AP) services, demonstrates that the GAO report fails to tell the full story about cost and utilization. Read more...
Pulished in Healio The bipartisan legislation, “The Medicare Care Coordination Improvement Act of 2017,” was recently introduced by the Senate to modernize the Stark Law and eliminate the barriers it poses to care coordination. Read More >>
Published in POLITICO Stark Law bill: Sens. Rob Portman and Michael Bennet introduced a bill Wednesday to adapt Medicare’s anti-kickback laws. The regulations are intended to crack down on physician conflicts of interest in making referrals and purchasing services, but critics believe the laws need reform in a value-based payment era. Portman and Bennet’s bill, […]
The Medicare Care Coordination Improvement Act would remove barriers to physician practice participation in APMs. Specifically, it would provide CMS the same authority to waive restrictions in the Stark Law and Anti-Kickback Statute for physicians seeking to develop and operate APMs as was provided to Accountable Care Organizations in the Affordable Care Act. It would allow physician practices to incentivize practitioners to provide high quality care while alternative payment models are under development and in operation.
DHPA has submitted comments that propose ways to streamline the development and approval of Physician-Focused Payment Models (PFPMs) to the U.S. House Ways and Means Health Subcommittee’s Medicare Red Tape Relief Project. The new initiative is aimed at “delivering relief from the regulations and mandates that impede innovation, drive up costs, and ultimately stand in […]