Tag Archives: quality

Firm Client Tops Nation in Medicare Savings

Broad and Cassel client, Palm Beach Accountable Care Organization, tops the nation in Medicare savings, as detailed in the article below from the Palm Beach Post:  A doctor group based in Palm Beach County leads the country in saving taxpayers … Continue reading

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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

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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

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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

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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

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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

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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

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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

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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

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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

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