Correcting The Blind Spot In Accountability: The Role Of Pharmacy Care
Editor's note: In addition to William Shrank, this post is also coauthored by Andrew Sussman, Patrick Gilligan, and Troyen Brennan. The Centers for Medicare and Medicaid Services (CMS) recently issued a Request for Information (RFI) to solicit suggestions about how to improve the Accountable Care Organization (ACO) programs. CMS stated that they seek recommendations about how the ACO program might evolve to “encourage greater care integration and financial accountability.” The RFI explicitly stated that they seek information about how to better integrate Part D expenditures into ACO cost calculations to make pharmac...
Source: Health Affairs Blog - June 25, 2014 Category: Health Management Authors: William Shrank Tags: All Categories Chronic Care Health Reform Payment Pharma Physicians Policy Prevention Primary Care Public Health Workforce Source Type: blogs

First Opinion: Online doctor consults for the masses (podcast interview)
Hey doc, let’s chat http://healthbb.files.wordpress.com/2014/06/hbdew0014-david-e-williams-interviews-first-opinions-vikram-bakhru1.m4a The dominant trend in primary care is toward large group practices where more and more patient encounters are with NPs, PAs and other professionals rather than MDs. Co-pays are rising, and so-called patient-centered medical homes are leveraging electronic health records in the pursuit of “population health.” Against this background, First Opinion, an iOS app, is going more or less in the opposite direction. The company allows users one free text-based consultation a mont...
Source: Health Business Blog - June 17, 2014 Category: Health Managers Authors: David Williams Tags: e-health Patients Physicians Podcast Source Type: blogs

The Payment Reform Landscape: Capitation With Quality
When I began this blog series in February, I explained how Catalyst for Payment Reform (CPR) views different payment reform models along a continuum of financial risk. Thus far, we have used this series to explore the evidence behind “upside only” models that give providers the chance for a financial upside, but no added financial risk, or downside. We’ve looked at the evidence behind pay-for-performance and per-member per-month payments to support patient-centered medical homes. This month, we move across the risk spectrum to examine a model that offers both upside and downside financial risk for providers—capitat...
Source: Health Affairs Blog - June 6, 2014 Category: Health Management Authors: Suzanne Delbanco Tags: All Categories Cost Health Care Costs Health Care Delivery Insurance Payment Policy Quality Spending States Source Type: blogs

Bruce Bethancourt, MD on building the medical group of tomorrow (transcript)
This is the transcript of my recent podcast interview with Dr. Bruce Bethancourt, chief medical officer of St. Vincent Medical Group. Dr. Bruce Bethancourt, MD, CMO of St. Vincent Medical Group David E. Williams: This is David Williams from the Health Business Group. I’m speaking today with Dr. Bruce Bethancourt. He is Chief Medical Officer of Saint Vincent Medical Group. Bruce, could you first describe Saint Vincent Medical Group and what your role is there? Dr. Bruce Bethancourt: Saint Vincent Medical Group is a relatively new group that came together three years ago. It’s really three groups. We have an amazing ...
Source: Health Business Blog - May 28, 2014 Category: Health Managers Authors: David Williams Tags: Uncategorized Bruce Bethancourt Saint Vincent Medical Group Source Type: blogs

The Affordable Care Act: How Provider Organizations Can Succeed Under Health Reform
We've Moved! Update your Reader Now. This feed has moved to: http://feeds.healthblawg.com/healthblawg Update your reader now with this changed subscription address to get your latest updates from us. http://feeds.healthblawg.com/healthblawg (Source: HealthBlawg :: David Harlow's Health Care Law Blog)
Source: HealthBlawg :: David Harlow's Health Care Law Blog - May 23, 2014 Category: Medical Lawyers and Insurers Authors: David Harlow Tags: Accountable Care Organization Chronic care CMS Health care policy Health Insurance Health Law Health Reform HHS Hospitals Medical home Pay for performance Physicians Speaking Value Based Purchasing Source Type: blogs