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News Clips
AMA
(7/23) Here is How Value-based Care Can Work for Private Practices – This article highlights provider buy-in as key to independent practice adoption of value-based care. This includes engaging EHR data to prevent hospitalizations and identifying ways to keep patients healthy.
Becker’s ASC Review (8/4) 5 Things That Need to Change for Independent Practice to Survive – This interview identifies challenges that have contributed to the decline of independent practitioners. The five challenges are the Medicare Physician Fee Schedule reimbursement declines, site of care differential, 340B drug program, Stark law, and certificates of need.
Health Affairs (8/4) Changes in Clinicians’ Participation Across Medicare Value-Based Payment Models, 2017-22 – In a longitudinal cohort study of clinicians who billed Part B services between 2017-22, participation in two-sided ACOs rose while nearly two-thirds of clinicians still did not participate in any APM. The number of QPP-exempt clinicians grew during the study period with specialists more likely to be exempt and less likely to participate in an ACO compared to primary care providers.
Medical Economics Insider (8/13) Is Value-Based Care Actually Working? – This article analyzes what has worked, what has not, and how to prepare for the future of value-based care a decade after the passage of the Medicare Access and CHIP Reauthorization Act. The article highlights the barriers to entry and sustainability for independent practices, as well as the promise of value-based care. Aledade’s Sean Cavanaugh said that if current models improve cash flow, reduce administrative burden, and adjust incentives “we’ll see more primary care doctors on the sidelines decide to participate.”
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