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2 posts from October 2017


Upcoming Podcasts: Bundled Payment Arrangements and Practicing Mindfulness in Health Care Delivery

Since this coming Monday, October 16th, comments are due to CMS concerning the agency's proposal to cancel the Obama administration's cardiac care bundled payment demonstrations, it is a good time to revisit bundled payment arrangements.  With me to discuss this type of pay for value contracting under Medicare will be Mr. Clay Richards, President and CEO of naviHealth, a convener of bundled payment arrangements under CMS' Bundled Payments for Care Improvement (BPCI) demonstration begun in 2013.   (Listeners may recall I discussed bundled payments with Jim Gera of Signature Health on April 1, 2016.)

In early November, I will discuss with the author, Dr. Ronald Epstein, Professor of Family Medicine, Psychiatry and Oncology at the University of Rochester, his recently published work, Attending: Practicing Mindfulness and Humanity.  



MACRA's Virtual Groups (October 3rd)

If you're into the weeds relative to the regulatory implementation of the Medicare Access and CHIP Reauthorization Act (MACRA), the 2015 Medicare law that replaced the SGR (Sustainable Growth Rate), here's an essay I co-wrote with Manu Uppal, an information technology expert, regarding the Merit-Based Incentive Payment System (MIPS) Virtual Group provision CMS is proposing to implement in 2018.  The Virtual Groups provision is yet another example of Medicare policy that in theory or on paper sounds correct but relative to how in practice it's actually implemented, is black box.

"CMS Should Play the Role of Virtual Group Matchmaker, " is at: http://thehealthcareblog.com/blog/2017/10/03/cms-should-play-the-role-of-virtual-group-matchmaker/.