September 1st, 2011 by DavidHarlow in Health Policy, News
Tags: Accountable Care Organization, ACO, Bundled Payment, Care Improvement, CMS, Fee-For-Service System, FFS, Health Reform, Hospitals, Massachusetts, Massachusetts global payments, Pay For Performance, Physicians
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Many health care provider organizations have not been overly eager to jump onto the Accountable Care Organization (ACO) bandwagon, citing high startup costs and uncertain returns on investment given the complexity of the program. Well, recently, the CMS Center for Innovation has announced the Bundled Payment for Care Improvement initiative. This initiative incorporates elements of earlier CMS demonstration projects — the gainsharing demos and ACE (acute care episode) bundled payments demonstrations which the HealthBlawger has helped a number of clients around the country qualify for in the past — and builds on the broad authority granted to the CMS Center for Innovation under health reform.
The advantages to proceeding with a Bundled Payment for Care Improvement project include the opportunity to participate in CMS shared savings programs while only providing limited commitment of organizational resources, i.e., limited to one or more discrete service lines or episodes of care. Of course, investments in a culture of collaboration must be made, but the system-wide investment in IT and other infrastructure at the level called for in order to qualify as an ACO would not necessarily be required in order to proceed with this initiative.
There are a number of different models open to participants, and nonbinding letters of commitment are due as early as late September.
From the CMS Center for Innovation announcement: Read more »
*This blog post was originally published at HealthBlawg :: David Harlow's Health Care Law Blog*
September 1st, 2011 by AndrewSchorr in Interviews, News
Tags: Banner Health, Cancer, Cancer Diagnosis, Cancer Survivor, Chemotherapy, Head and Neck Cancer, healthcare, MD Anderson Cancer Center, Peter Fine, Phoenix, Powerful Patients, Radiation, Struggle
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Pat Elliott, me and a HUGE cactus at Banner MD Anderson!
I am just back from the Phoenix-metro area. It’s now the 5th largest in the United States and despite home foreclosures, there is still a feeling of growth in many areas. Gilbert, a nearby suburb, has expanded to over 200,000 people and a growing major medical center. I spent several days interviewing patients and staff about the soon-to-open, Banner MD Anderson Cancer Center. The hope is that by bringing MD Anderson’s world-renowned expertise, clinical trials and processes to this new center, cancer care around Phoenix and the southwest will be improved. Look for my video interviews coming soon.
But, in the meantime, one interview stuck out for me; the one with the Banner Health President and CEO, Peter Fine. Peter is in his late 50s and is a health care industry professional who has been guiding Banner Health and its 23 hospitals well for over a decade. For the past several years, Peter has been strategizing the building of a major cancer center on one of his hospital campuses. Peter knew he would need a renowned partner to make it successful and three years ago he chose MD Anderson Cancer Center, in Houston, consistently ranked as the nation’s #1 cancer center (and where I was treated in a leukemia clinical trial).
Even before the partnership contract was inked, a strange thing happened. Peter found a swollen lymph node in his neck and it didn’t go away. Read more »
*This blog post was originally published at Andrew's Blog*
September 1st, 2011 by DrWes in News
Tags: AFib, Apixaban, ARISTOTLE Trial, Atrial Fibrillation, Blood Clots, Clinical Trial, direct Factor Xa inhibitor, Major Bleeding, Mortality Equivalence, New England Journal of Medicine, Warfarin
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With the publication of “Apixaban versus Warfarin in Patients with Atrial Fibrillation” (the ARISTOTLE trial) in the New England Journal of Medicine, the third drug in a series of medications designed to attack thrombin in the clotting cascade. The study was announced with quite a fanfare in Europe as cardiologists, financial analysts and reporters gushed forth with ‘mega-blockbuster’ praise this past weekend.
And for good reason.
This is the first trial to conclude that Read more »
*This blog post was originally published at Dr. Wes*
August 30th, 2011 by RyanDuBosar in News, Research
Tags: 2010, 2011 Medical Group Compensation and Financial Survey, Allergy Specialty, American Medical Group Association, Compensation, Emergency Medicine, Hospitalist-Internal Medicine, Income, Operating Margins, Pay Raise, Primary Care Specialties, Specialties, Surgeons
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Although nearly 70% of medical specialties saw increases in compensation in 2010, increases were marginal, reports the American Medical Group Association’s 2011 Medical Group Compensation and Financial Survey.
Primary care specialties saw about a 2.6% increase in 2010, while other medical specialties averaged an increase of 2.4% and surgical specialties averaged around 3.8%. Specialties with the largest increases in compensation were allergy (6.38%), emergency medicine (6.37%), and hospitalist-internal medicine (6.29%).
In comparison, in 2009, primary care and surgical specialties saw about a Read more »
*This blog post was originally published at ACP Hospitalist*
August 30th, 2011 by Iltifat Husain, M.D. in News
Tags: Android, Army, Battlefield, Electronic Medical Records, Health IT Hardware and Software Program, iPad, iPhone, Lt. Col. William Geesey, Medical Apps, Medical Communications for Combat Casualty Care system, Medical Documentation, Motorola, Smartphones, VA, Veterans Affairs
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I was always under the impression that medical documentation was reserved for the office and the hospital. Not necessarily so — even in the battlefield, medics document medical care in real time.
Unfortunately, the tools they use to do this documentation consists of bulky Motorola hand held devices that are four years old.
Four years is an eternity in the tech world. To put this in perspective, I was still rocking a Motorola RAZR back then. So it shouldn’t come as a surprise that the Army is field testing the iPhone, iPad, and Android smartphones in the battlefield. Read more »
*This blog post was originally published at iMedicalApps*
