Physician Group Practice Demonstration Improves Quality, Reduces Costs | Healthcare Informatics Magazine | Health IT | Information Technology Skip to content Skip to navigation

Physician Group Practice Demonstration Improves Quality, Reduces Costs

August 10, 2011
by root
| Reprints

The Centers for Medicare and Medicaid Services (CMS) announced results from the initial Physician Group Practice (PGP) Demonstration, a landmark partnership with physician group practices that aims to better coordinate care across different settings, leading to improved quality and cost savings. After five years, this demonstration has shown positive results, including significant progress in areas of both quality improvement and savings in Medicare expenditures. The lessons learned from this demonstration helped shape the Accountable Care Organization (ACO) model put forth by the Affordable Care Act.

CMS also announced that all 10 of the physician groups will continue to participate in the new PGP Transition Demonstration, a two-year supplement to the original PGP Demonstration.

Under the PGP Demonstration, physician groups earn incentive payments based on the quality of care they provide and the estimated savings they generate in Medicare expenditures for the patient population they serve. For each participating PGP practice, CMS established a minimum threshold (or benchmark) for each of the quality performance measures. In order to receive incentive payments, a group had to meet the quality performance benchmark.

The results from the demonstration underscore the opportunities for integrating care for patients enrolled in traditional fee-for-service Medicare. In the fifth year of the demonstration, seven groups achieved benchmark performance on all 32 performance measures; these include Billings Clinic in Billings, Montana, Everett Clinic in Everett, Washington, Forsyth Medical Group in Winston-Salem, North Carolina, Geisinger Health System in Danville, Pennsylvania, Middlesex Health System in Middletown, Connecticut, Park Nicollet Health Services in St. Louis Park, Minnesota, and St. John’s Health System in Springfield, Missouri. The remaining three groups achieved benchmark performance on at least 30 of the 32 reported measures. These results mark a significant increase from year 1, when only 2 physician groups achieved benchmark performance on all measures.


Topics

News

UF Health Receives $2.2 Million CDC Grant for Telemedicine Project

UF Health Jacksonville in Florida will be using a $2.2 million federal grant to launch a telemedicine program aimed at improving care for patients living with HIV in an urban setting.

Epic, CVS Health Team Up to Use Analytics for Informed Medication Insights

Epic Systems and CVS Health have announced an initiative in which analytics and data sharing will be leveraged to generate insights surrounding dispensing patterns and behaviors around medication adherence.

Two Major Healthcare Collaboratives Partner to Improve Regional Data Sharing

NRHI a national organization of regional healthcare improvement collaboratives, and SHIEC, a national trade association representing health information exchanges, are now joining forces.

AMA Launches Collaborative Initiative to Tackle Health Data Issues

The American Medical Association (AMA) announced Monday that it is launching a platform, called the Integrated Health Model Initiative, to bring together healthcare providers and health technology companies around a common data model.

Anthem to Create Tech Center in Downtown Atlanta

Anthem has announced that its local Atlanta affiliate will build a new technology center downtown where 3,000 multidisciplinary IT professionals will work on innovative projects to help improve the consumer experience.

Healthcare Associations to Congress: Extend MACRA Flexibilities by Three More Years

Several prominent healthcare associations and medical societies have written a letter to leading members of the Committee on Energy and Commerce, proposing to continue current MACRA flexibilities for an additional three years.