WayPoint Coordinates

12/30/2013

A Role for Specialists in Resuscitating Accountable Care Organizations

In a provocative posting on the Harvard Business Review’s Blog Network, authors John W. Peabody and Xiaoyan Huang assert, “If we have learned anything in the years since managed care, it is that managing the cost risks cannot be delegated to primary care providers alone.” This blog posting further goes on to emphasize the importance of creating flexible ACO partnerships comprised of primary care and specialty physicians around integrated

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12/30/2013

Reform Update: Docs Welcome Medicare Pay for Care Coordination, but Worry about Administrative Burdens

Primary care physicians are embracing Medicare’s move to compensate them for care coordination services they provide when patients aren’t in their offices, although the CMS declined to eliminate the administrative burden that troubled many providers when the idea was proposed. Click link for full article.

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12/30/2013

CMS Consolidates Hospital Outpatient Payments

In a move intended to lower costs, reduce complexity and make a positive contribution towards transparency, Medicare plans to pay a single rate for hospital outpatient clinic visits in 2014, instead of the five different rates it currently pays. Click link for full article.

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12/30/2013

Hospitals will Quote Prices for Parking, not Procedures

Advocates for readily usable pricing transparency data will be quick to forward this Reuters article through social media. Those in the industry understand the difficulties of “quoting prices”. However, providers that find a way to provide a simple answer to what patients view to be a simple question will achieve a significant competitive advantage. The new study, described in a research letter in JAMA Internal Medicine, can be summarized

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12/30/2013

Chaotic Healthcare Pricing Drives Transparency

At the ninth-annual Dallas-Fort Worth Business Group on Health last week, Wally Gomaa, CEO of Dallas-based ACAP Health Consulting, joined a chorus of voices around the country saying that prices, not utilization, are driving healthcare costs. He predicted current price transparency efforts as “first generation,” and predicted widespread reference-based pricing for common procedures in the near future. While many would take issue with isolating prices as “the” inflation driver,

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