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5 Min Read

Team-based care advances across the states

Achieving the “triple aim”—providing the highest quality of care at the lowest cost possible while improving patient outcomes—is becoming more and more difficult as the patient population ages, chronic conditions become more prevalent and newly-insured patients flood the health care system.

Scope of Practice
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3 Min Read

No more secrets: Insurer claim edits come into the light

Expensive claim denials and unexpected payment adjustments that stem from the hundreds of proprietary claim edits individual health insurers create behind closed doors could become a thing of the past in a few short years, thanks to an initiative underway in Colorado.

Claims Processing
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4 Min Read

How med schools are preparing students for team-based care

Medical residents today must demonstrate that they can successfully participate as contributing members of interprofessional teams, so medical schools are working through barriers to incorporate interprofessional education (IPE) into their curricula to give students a firm grounding when they begin providing care.

ChangeMedEd Initiative
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3 Min Read

What physicians need for practice transformation: Doctors to CMS

Assisting physicians in adopting new models of care and payment that will enhance quality and lower costs is the aim of a recent request for information from the Centers for Medicare & Medicaid Services (CMS).

Payment & Delivery Models
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2 Min Read

Physician groups should register now to avoid PQRS penalty

Physicians who practice in a group can register for the 2014 Physician Quality Reporting System (PQRS) Group Practice Reporting Option (GPRO) now through Sept. 30. Physicians who do not participate in PQRS this year will be hit with a 2 percent payment penalty in 2016. 

Payment & Delivery Models
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4 Min Read

Making EHR meaningful use less burdensome

About 20 percent of eligible professionals—mostly physicians—have dropped out of the Centers for Medicare & Medicaid Services’ (CMS) meaningful use electronic health record (EHR) incentive program, according to an AMA analysis of data from the agency.

Digital
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4 Min Read

What makes a successful hospital-physician relationship

Health care delivery models—and relationships between hospitals and physicians—are changing rapidly, but until more systems implement new models, the traditional structure isn’t going away, according to discussions from an industry conference highlighted in an April 18 Health Affairs blog post.

Payment & Delivery Models
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3 Min Read

Physicians explain how to divvy payments in new models of care

Adopting care delivery reforms in your practice can help you achieve better physician-led, patient-centered care and increase your professional satisfaction. New resources from the AMA can help guide you through an appropriate payment system for new models of care.

Payment & Delivery Models
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4 Min Read

What you won't see in the raw Medicare claims data

The public is getting its first glimpse of physicians’ Medicare claims data following a widely publicized data release Wednesday by the Centers for Medicare & Medicaid Services (CMS).

Medicare & Medicaid