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Tag Archives: quality
CMS Announces New Flexibility with MACRA
By: Mike Segal It is now quite clear that the Medicare Access and CHIP Reauthorization Act, or MACRA, enacted into law in 2015, will have a telling effect on how Medicare reimburses for physician services. In April 2016, the Centers … Continue reading
Posted in Care Delivery, Mike Segal
Tagged APM, Broad and Cassel, care delivery, CHIP, CMS, Florida, health law, Health Law Practice Group, healthcare, MACRA, Medicare Access and CHIP Reauthorization Act, MPIS, physician, providers, QEP, quality
Data Analytics and Population Health – Keys to the Transition to Payment for Quality and Cost Effectiveness
By: Paul R. DeMuro In 1854, John Snow helped solve a public health problem by concluding that the cause of cholera in London was primarily from people drinking water from the pump on Broad Street which had the bacterium that … Continue reading
In-House Counsel Increasingly Must Focus on Data Analytics
By: Paul R. DeMuro The Obama Administration plans to move billions of dollars in Medicare payments into contracts that radically alter how hospitals and physicians are paid. The idea is to find alternative payment mechanisms to Medicare’s fee-for-service system that … Continue reading
89 ACOs will join Medicare Shared Savings Program in January
The following information was recently published by Modern Healthcare. One of Medicare’s largest attempts to overhaul how hospitals and doctors are paid will expand in January even as federal officials acknowledge the need to modify the program to sustain the … Continue reading
Posted in ACO
Tagged ACO, ACOs, Centers for Medicare & Medicaid Services, CMS, efficiency, health care, health law, healthcare, Medicare, Medicare Shared Savings Program, MSSP, quality, shared savings
Christine Burke Worthen Published by AHLA
Christine Burke Worthen, Of Counsel in our Fort Lauderdale office, was recently published by the American Health Lawyers Association (AHLA). Her article, “Legal Considerations in Negotiating ACO Contracts: The New World of Risk Assumption, Enterprise Data Analytics, and Population Health Management,” … Continue reading
Posted in ACO, Care Delivery, Practice News
Tagged accountable care, accountable care organization, accountable care organizations, ACO, ACOs, Affordable Care Act, Broad and Cassel, care delivery, Centers for Medicare & Medicaid Services, CMS, compliance, fee-for-service, Florida health law, health care, health care delivery, health care industry, Health Law Practice Group, healthcare, healthcare reform, population health, population health management, quality, value-based reimbursement
Accountable Care Organizations and Patient Safety
By: Vanessa Reynolds The Affordable Care Act created incentives for Accountable Care Organization (ACO) providers to coordinate patient care across inpatient and outpatient settings to avoid unnecessary duplication of services and to improve patient outcomes. The latter are often dependent … Continue reading
Posted in ACO, Vanessa Reynolds
Tagged accountable care, accountable care organization, accountable care organizations, ACO, ACOs, Agency for Healthcare Research and Quality, Broad and Cassel, Florida health law, health care, health care industry, Health Law Practice Group, healthcare, healthcare reform, OIG, Patient Safety, quality, quality of care
Study: Medical homes cut costs for chronically ill members
By: Heather S. Miller It appears as though Blue Cross Blue Shield was more successful in Pennsylvania with its medical homes than the study conducted by the Journal of the American Medical Association. Click here to read about the study … Continue reading
Posted in Clinical Integration, Heather Miller
Tagged Blue Cross Blue Shield, Broad and Cassel, Clinical Integration, costs, Florida health law, health care, health care industry, health law, Health Law Practice Group, healthcare, managed care, medical homes, quality, The American Journal of Managed Care
Medical Home Pilot Proves a Disappointment Despite High Hopes
By: Heather S. Miller The Journal of the American Medical Association (JAMA) conducted a study that found that a large medical home demonstration project in Pennsylvania had little-to-no effect on quality, costs, or health care utilization. While the participating practices … Continue reading
Integrating Post-Acute Care Providers
By: Christine Burke Worthen While there has been a lot of focus on ACO’s and care coordination in the primary care and hospital settings since the enactment of the Affordable Care Act, there has been a greater focus more recently … Continue reading
Posted in ACO, Care Delivery, Reform
Tagged ACA, ACO, Affordable Care Act, Broad and Cassel, care coordination, care delivery, cost reduction, Florida health law, health care, health care industry, health law, Health Law Practice Group, healthcare, post-acute care, providers, quality, quality improvement
Healthcare in Florida: Innovation is key driver
This article discusses another concept that is starting to spread around the country, the specialist ACO. Typically, these types of organizations focus on reducing costs in chronic diseases. This is similar to a medical home, except the physician focus is … Continue reading
Posted in ACO
Tagged accountable care, accountable care organization, accountable care organizations, ACO, ACOs, Broad and Cassel, Florida health law, health care, health care industry, health law, Health Law Practice Group, healthcare, healthcare reform, physicians, quality, quality care, reform, specialist ACO
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