(HealthDay)—A proposed alternative to the Medicare sustained growth rate (SGR) formula for physicians encourages Medicare to adopt advanced primary care practice (APCP) as a new provider category, according to a perspective piece published online Dec. 18 in the New England Journal of Medicine.
Richard J. Baron, M.D., from the American Board of Internal Medicine in Philadelphia, and Karen Davis, Ph.D., from the Johns Hopkins Bloomberg School of Public Health in Baltimore, propose an alternative to the Medicare SGR formula for physician payment.
Noting that the Senate Finance-House Ways and Means proposal would support a move toward APCP, the authors propose that Medicare adopt it as a new provider category in order to accelerate APCP adoption. The proposed category would provide a bundle of services provided by a team using a technology platform designed to support visit-based and non-visit-based activities. The model would specify practice capacities and incorporate a payment model offering care management fees that flow predictably. Creation of a new provider category would provide multiple tools for policymakers to accelerate enhanced primary care availability; accelerate care team deployment; and foster development of the information infrastructure for delivering patient-centered, coordinated primary care.
"We believe that the combination of Medicare payment reform for APCPs and financial incentives for beneficiaries to seek this form of high-value care would induce most primary care providers to embrace practice transformation to ensure the best possible patient outcomes and experiences," the authors write.
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(HealthDay)—A proposed alternative to the Medicare sustained growth rate (SGR) formula for physicians encourages Medicare to adopt advanced primary care practice (APCP) as a new provider category, according to a perspective piece published online Dec. 18 in the New England Journal of Medicine.
Richard J. Baron, M.D., from the American Board of Internal Medicine in Philadelphia, and Karen Davis, Ph.D., from the Johns Hopkins Bloomberg School of Public Health in Baltimore, propose an alternative to the Medicare SGR formula for physician payment.
Noting that the Senate Finance-House Ways and Means proposal would support a move toward APCP, the authors propose that Medicare adopt it as a new provider category in order to accelerate APCP adoption. The proposed category would provide a bundle of services provided by a team using a technology platform designed to support visit-based and non-visit-based activities. The model would specify practice capacities and incorporate a payment model offering care management fees that flow predictably. Creation of a new provider category would provide multiple tools for policymakers to accelerate enhanced primary care availability; accelerate care team deployment; and foster development of the information infrastructure for delivering patient-centered, coordinated primary care.
"We believe that the combination of Medicare payment reform for APCPs and financial incentives for beneficiaries to seek this form of high-value care would induce most primary care providers to embrace practice transformation to ensure the best possible patient outcomes and experiences," the authors write.
Explore further: Amount of care similar for rural, urban medicare users
More information: Full Text
Copyright © 2013 HealthDay. All rights reserved.
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(HealthDay)—Payments from the Medicare Primary Care Incentive Payment Program (PCIP) were more than $664 million for calendar year 2012, according to a report published by the Centers for Medicare & Medicaid ...
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Apr 30, 2013
(HealthDay)—A novel structural and payment-reform system is proposed to foster accountable cancer care, according to a viewpoint piece published online April 29 in JAMA Internal Medicine.
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