By Fred Rosenberg See full article in AJMC The enactment of the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 will fundamentally alter payment to physicians treating Medicare patients. MACRA incentivizes physicians through 2 payment systems: the Merit-Based Incentive Payment System (MIPS) and Alternative Payment Models (APMs). MIPS is a modified fee-for-service system which […]
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DHPA in the News
AMA Wire – Barriers to colonoscopy screenings tackled in physician-led APM
By Troy Parks See full article in AMA Wire Advanced alternative payment models (APM) are one option for physician practices to participate in the Quality Payment Program (QPP), and several have already been submitted to the Physician-Focused Payment Model Technical Advisory Committee (PTAC), which reviews and evaluating Advanced APMs. One of these submissions seeks to […]
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Healio – Proposed APMs will increase cost efficiencies, improve GI patient care
By Dr. Lawrence Kim See full article in Healio At a recent Medicare Payment Advisory Commission meeting, several commissioners noted the severe lack of opportunities for specialists to enter into Advanced APMs. The DHPA supports two proposals that were submitted to PTAC, both of which will enable gastroenterologists to participate in Advanced APMs and allow […]
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Gastroenterology & Endoscopy News – Is This Plan the Future of Colonoscopy Reimbursement?
By Michael Weinstein See full article in Gastroenterology & Endoscopy In late December, the Digestive Health Network (DHN) submitted a proposal to the U.S. Department of Health and Human Services that would reshape the way the government reimburses physicians who perform colonoscopies. The alternative payment model attempts to shift the current method of fee-for-service reimbursement […]
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Bloomberg – Ideas for New Doctor Payment Models Coming From Medical Groups
By Mindy Yochelson See full article in Bloomberg Five very different alternative payment models are being critiqued by a federal committee to determine if they could become options for paying physicians under Medicare. The five are the first to be submitted to the Physician-Focused Payment Model Technical Advisory Committee (PTAC) and range from limited inclusion […]
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