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Care Delivery

 

Primary care practices in Louisiana, Nebraska, North Dakota and New York’s Erie and Niagara Counties can now apply to participate in the second round of CMS’s Comprehensive Primary Care Plus (CPC+) model.

For the second time under the Trump administration, CMS has delayed the implementation date of bundled payments for cardiac care and an expansion of a joint replacement model, which are now due to begin Jan. 1, 2018, opening the door to additional changes, like making the models voluntary rather than mandatory.  

Two large hospitals in the Los Angeles area would be under the same parent organization under a proposed affiliation plan announced by Cedars-Sinai and Torrance Memorial Medical Center.

Geisinger Health System and insurer Highmark have signed a letter of intent for a new joint venture to develop a new clinical network and reimbursement in four Pennsylvania counties.

New renderings have been released of the new pediatric and obstetric hospital campus at Lucile Packard Children’s Hospital Stanford, which is now slated to open in December, five years after the groundbreaking for the facility. 

 

Recent Headlines

Retail clinics aren’t reducing unnecessary ED visits

Having a retail health clinic nearby isn’t steering patients away from going to the emergency department (ED) for common low-acuity conditions.

Anthem allowed to move forward with PPO to EPO switch in California

A California judge denied a request for a restraining order which would have stopped Anthem from moving 500,000 customers to plans that only cover out-of-network charges in an emergency.

Med school blues: 45% of students feel burned out

Feeling overworked is common among physicians, but even those still pursuing their medical degrees are more likely to suffer from burnout.

CMS approves Massachusetts’ transition to ACO model for Medicaid

A five-year, $52.5 billion Medicaid waiver for Massachusetts has been approved by CMS, allowing the state to reorganize its MassHealth program and transition to an accountable care organization (ACO) model.

CMS's Slavitt: Healthcare can’t rely on old ways in ‘new normal’

CMS Acting Administrator Andy Slavitt said the healthcare industry’s move away from volume and towards value-based care will be worth the short-term disruption in remarks to the American Academy of Actuaries.

Mom who gave birth in hospital parking lot surprised at full delivery charge

Paula D’Amore expected to pay a little less for giving birth to her daughter in April, because she never actually made it inside Boca Raton Regional Hospital.

New AMA textbook offers clinician perspective on value-based care

The American Medical Association has announced the launch of a new “health sciences” textbook for medical school students, focusing on the transition towards value-based care and the skills physicians will need to navigate this new system, including using electronic health records.

425 physicians pulled from Tufts network

New Bedford, Massachusetts-based Southcoast Health System is forming its own independent doctors group, which means its 425 physicians will be leaving Tufts Medical Center’s network.

Price transparency led patients to choose lower-cost hospitals

When given access to transparency tools estimating prices for imaging services and sleep studies, commercially-insured patients were more likely to choose lower-cost hospitals.

Too few medical school grads choose family medicine

Medical schools are “underproducing” family physicians, according to a new survey, though some states and regions seem to have more success with graduates choosing to go into primary care.

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