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Managed Care

The MACRA Final Rule: More Options for MDs, More To-Do’s for IT Leaders

October 18, 2016  |  Mark Hagland
Initial responses to the release of the MACRA final rule have mostly been positive—and in any case point to more to-do’s on the to-do lists of healthcare IT leaders

Does CMS Need to Dramatically Rethink Readmissions Reduction?

October 17, 2016  |  Mark Hagland
Two new studies published in Health Affairs raise questions about some of the policy assumptions underlying the Medicare program’s Hospital Readmissions Reduction Program

BREAKING: CMS Officials Unveil Highlights of New MACRA Quality Payment Program In a Press Conference

October 14, 2016  |  Mark Hagland, Rajiv Leventhal, and Heather Landi
After unveiling the new Quality Payment Program under MACRA on the CMS website, the agency’s Acting Administrator and its CMO shared with the press their comments on the program's highlights; meanwhile, Farzad Mostashari, M.D. offered his initial thoughts

Can Medicare ACOs Learn from Commercial ACOs?

October 13, 2016  |  Mark Hagland
It was fascinating to read a new analysis from Commonwealth Fund researchers that looked at differences between commercial and government-sponsored ACOs in terms of making progress in key areas around accountable care development

Industry Expert: Time for Physician Groups to “Figure Out” the Volume-to-Value Transition

October 10, 2016  |  Mark Hagland
At a time when more and more MD groups are taking on risk, the leaders of member groups in the California-based association known as CAPG, are figuring how to successfully navigate the transition from volume to value, says CAPG CEO Don Crane

UPMC’s Solano Shares What Works in MD-Driven Population Health (Part I)

October 7, 2016  |  Mark Hagland
Francis X. (Fran) Solano, M.D., president of Community Medicine, Inc., the largest group of employed primary care physicians at UPMC health system in Pittsburgh, shares what has worked very well so far, in supporting physicians in practice, as they plunge into...

Will “Telehealth” Soon Become, Simply, “Health?”

October 2, 2016  |  Mark Hagland
A discussion at the Health IT Summit-New York probed some truly exciting potentialities around policy, payment, clinical, and technological changes that could transform U.S. healthcare delivery

At New York HIT Summit, an MD Leader Outlines How HIT Can Enhance Patient Centered Medical Homes

September 27, 2016  |  Heather Landi
At the Health IT Summit on Tuesday, Salvatore Volpe, M.D, chief medical officer at Staten Island Performing Provider Systems, urged physician leaders to adopt health IT to increase efficiency and improve patient care within Patient-Centered Medical Homes.

Making Sense of Data Analytics Development Now

September 26, 2016  |  Mark Hagland
The Chartis Group’s Mary Jo Morrison shares her perspectives on the current gaps in strategy and tactics around data analytics for accountable care and population health

Editor's Notes: Is the "Genius In All of Us" Smart Enough to Propel MDs into the New Healthcare?

September 24, 2016  |  Mark Hagland
I've been absorbed in a book about the "dynamic environment"--the interplay between genetically inherited traits and learned experience. And it's made me think about physicians and the new healthcare.

Provider Associations Laud Bipartisan, ACO-Focused Legislation

September 22, 2016  |  Mark Hagland
Four major healthcare professional associations on Thursday publicly expressed support for legislation aimed at modifying the Medicare Shared Savings Program for ACOs in order to ease providers’ concerns

Catching Up with Tim Zoph, and Parsing the Current Inflection Point in U.S. Healthcare

September 19, 2016  |  Mark Hagland
Tim Zoph, who has spent decades as a leader in healthcare and healthcare IT, shares his perspectives on where things are headed next in U.S. healthcare—in both the healthcare IT and facilities development spheres, and beyond


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