Published in EndoEconomics For the past several years, the federal government has shifted its position toward allowing physicians to legally engage in self-referrals if they are participating in an alternative payment model. This movement began in 2011 when the Centers for Medicare & Medicaid Services was authorized to waive the federal Stark self-referral law for […]
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DHPA in the News
Project Sonar APM Would Allow Gastroenterologists to Take Part in New Payment Models
By Dr. Lawrence R. Kosinski, MD, MBA, AGAF, FACG See full article in American Journal of Managed Care As the drama unfolded this summer during Congress’ failed attempts to repeal and replace the Affordable Care Act, our healthcare system continued its inevitable move away from fee-for-service toward value-based care. One immediate step HHS Secretary Tom […]
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Payment Model Technical Advisory Committee approves Project Sonar as an alternative payment model
By Eric Oliver See full article in Becker’s GI & Endoscopy The Physician-Focused Payment Model Technical Advisory Committee recently completed its two-day public meeting to deliberate and vote on three proposals for physician-focused payment models. The full Committee voted to make the following recommendations to the Secretary of the Department of Health and Human Services: Project […]
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PTAC OK’s Alternative Payment Model for IBD
By Shannon Firth See full article in MedPage Today An alternative payment model gained endorsement from a body of policy experts tasked with helping the administration identify ways to shift physician payment from volume to value. With one member absent, the Physician Focused Payment Technical Advisory Committee (P-TAC) voted 7-3 that Project Sonar, an “intensive […]
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American Journal of Managed Care (AJMC) – Two New Advanced APMs Could be the Answer for Medical Specialists
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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