This MCOL podcast features a discussion by Doug Sherlock, Senior Health Care Analyst and President, Sherlock Company (www.sherlockco.com), featuring his insights into the quarterly financial performance of value based care organizations for the fourth quarter 2021.
- Andrea Enzinger, M.D., Oncologist and Palliative Care Physician, the Dana-Farber Cancer Institute
Source: Value Based Payment News, Volume 7 Issue 8, April Second Edition 2022, "Supermajority of U.S. Physicians are Employed by Health Systems or Corporate Entities."
|
Performance of Psychiatrists vs Other Physicians in 2020
MIPS: 4 Comparisons 1. Mean final MIPS performance score: 84.0 for psychiatrists vs 89.7 for other physicians 2. Received a penalty: 6.1% of psychiatrists vs 2.9% of other physicians 3. Received a positive payment adjustment: 92.6% of psychiatrists vs 96.3% of other physicians 4. Received a bonus payment adjustment: 82% of psychiatrists vs 88.7% of other physicians Notes: From a cross-sectional study of 9,356 psychiatrists and 196,306 other outpatient physicians participating in the 2020 MIPS, entitled, "Comparison of Performance of Psychiatrists vs Other Outpatient Physicians in the 2020 US Medicare Merit-Based Incentive Payment System," by Andrew C. Qi, MD; Karen E. Joynt Maddox, MD, MPH; Laura J. Bierut, MD; et. al. Source: JAMA Health Forum, March 25, 2022 |
||
 |
ACO REACH: Analyzing the Latest Value-Based Care Model from CMS
CMS's Center for Medicare and Medicaid Innovation (CMMI)
recently announced the strategic redesign of their current
Global and Professional Direct Contracting (GPDC) model.
Beginning in January 2023, the redesigned program, known as ACO
REACH, seeks to drive greater provider participation and
improved quality of care, with a strong focus on improving
health equity and closing the gaps for millions of vulnerable
beneficiaries. We've assembled an expert panel to weigh in on
the new ACO REACH model, including its framework, benefits, and
opportunities. |
Check out
HealthshareTV, the
home for health care videos |
RevCycle Intelligence, April 26, 2022
Medical Economics, April 19, 2022
Becker's Hospital Review, April 19, 2022
HealthLeaders, April 14, 2022
Managed Healthcare Executive, April 14, 2022
Healthcare Innovation, April 14, 2022
FierceHealthcare, April 13, 2022
Physicians Practice, April 8, 2022
The American Journal of Managed Care, April 7, 2022
Hospice News, March 31, 2022
|
BCBS of Michigan launches joint venture with Honest
Medical Group PR Newswire, April 25, 2022 |
|
AHA Summary of Hospital Inpatient PPS Proposed Rule
for Fiscal Year 2023 American Hospital Association, April 19, 2022 |
|
Financing and Reimbursement Models for Personalised
Medicine Applied Health Economics and Health Policy, April 4, 2022 |
|
The Effect of Network-Level Payment Models on Care
Network Performance International Journal of Integrated Care, April 1, 2022 |
|
Financing Whole-Person Health Global Advances in Health and Medicine, abstract only, April 1, 2022 |
|
Optum and LHC Group to Combine, Advancing Abilities
to Extend VBC into Homes Optum News Release, March 29, 2022 |
In this month's first issue:
- Examining the Components of the Just Released CMS National Health Expenditures Data
- CQMC Updates Core Measure Sets with Additional Patient-focused Measures
- Improving Maternal Health via Value-Based Care
- Industry News: Optum Acquires LHC Group to Advance Value Based Care in Home Setting; Three-Way Merger to Create Leading National Value Based Kidney Care Provider; Stellar Health and UNC Health Collaborate Announce Value-Based Care Initiatives
In this month's second issue:
- Supermajority of U.S. Physicians are Employed by Health Systems or Corporate Entities
- CMS Outlines Health Equity Action Plan
- Is My Drug Copay Coupon a Form of Charity — Or a Bribe? By Elisabeth Rosenthal
- Sherlock Company Value-Based Care Snapshot
- Moving Up…
- Industry News
Click here to view a brief (under 2 minutes) video with more
information
|