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Physicians

Changing Payment Models and Physician Care Management Models

Physician MarketScan: Specialists Expanding Care in the Home

March/April 2024 Issue
SUBSCRIBER CONTENT Physician MarketScan: As CMS concentrates on integrating more specialists into value-based care, prioritizing engagement with home care providers emerges as a key strategic imperative. These engagement strategies center around areas such as readmissions, care transitions, longitudinal care, value-based payments, bundled payments, and the expansion of specialty care within a home setting.

Physician MarketScan: Specialists Expanding Care in the Home2024-03-03T20:30:21-05:00

Synergistic Referral Partnerships Gain Traction

January/February 2024 Issue
SUBSCRIBER CONTENT ENVIRONMENTAL SCAN: Referrals are more dependent on home care as partners for financial, quality, and patient experience measures. Shifting payments are changing traditional views of managing a patient’s care journey. Each segment of healthcare will contribute to a synergistic success level. No organization can do it alone.

Synergistic Referral Partnerships Gain Traction2024-03-02T15:59:50-05:00

Social Determinants: Changes Ahead in 2024​

January/February 2024 Issue
SUBSCRIBER CONTENT ENVIRONMENTAL SCAN: Screening requirements for social determinants in 2024 are front and center for hospitals, dialysis centers, physicians, and post-acute providers. Coordination across various healthcare settings, including ambulatory, emergency department, inpatient, and home health will create a unified approach.

Social Determinants: Changes Ahead in 2024​2024-03-02T15:59:44-05:00

Future Bundled Payment Programs to Improve Care Transitions and Collaboration Across Patients’ Care Journey

September/October 2023 Issue
SUBSCRIBER CONTENT CMS is asking for feedback to create a future episode-based payment model seeking feedback regarding a potential new episode-based payment model that would be designed with a goal to improve beneficiary care and lower Medicare expenditures by reducing fragmentation and increasing care coordination across health care settings.

Future Bundled Payment Programs to Improve Care Transitions and Collaboration Across Patients’ Care Journey2023-10-27T16:13:23-04:00

CMS Proposes Payment to Physicians to Train Caregivers

September/October 2023 Issue
SUBSCRIBER CONTENT For CY 2024, CMS proposes paying physicians for Caregiving Training Services (CTS) when the treating practitioner identifies a need to involve and train one or more caregivers to assist the patient in carrying out a patient-centered treatment plan.

CMS Proposes Payment to Physicians to Train Caregivers2023-10-27T16:13:49-04:00

CMS Proposes to Pay Doctors for Social Determinants and Illness Navigation Services

September/October 2023 Issue
SUBSCRIBER CONTENT CMS is proposing to pay separately for Community Health Integration, Social Determinants of Health (SDOH) Risk Assessment, and Principal Illness Navigation services to account for resources when clinicians involve community health workers, care navigators, and peer support specialists in furnishing medically necessary care.

CMS Proposes to Pay Doctors for Social Determinants and Illness Navigation Services2023-10-27T16:14:02-04:00

CMS’s Making Care Primary Model Advances Primary Care into Value-Based Care

July/August 2023 Issue
SUBSCRIBER CONTENT A new CMS model for primary care is testing value-based payments, chronic care management, and management of social determinants. If successful, the model Making Care Primary can scale both large and small physician practices into value-based care and comprehensive care management.

CMS’s Making Care Primary Model Advances Primary Care into Value-Based Care2023-08-29T11:24:10-04:00

2023 CMS Adding Physician Relationships to Home Care Providers on Medicare’s Care Compare Website

January/February 2023 Issue
SUBSCRIBER CONTENT Medicare’s Care Compare website is adding physician and clinician affiliations to home-based care organizations. The new information is meant to provide additional information to support patients and caregivers as they make healthcare decisions.

2023 CMS Adding Physician Relationships to Home Care Providers on Medicare’s Care Compare Website2023-04-12T16:03:48-04:00

Six Smart Ways to Stay in Communication with Your Referral Sources

September/October 2021 Issue
SUBSCRIBER CONTENT Your referral partners increasingly expect robust communications to make patient transfers as seamless as possible, for both the patient and providers. They will have to make a choice. Ultimately, they will look for relationships with organizations that are easy to work with and that can deliver proven quality care. We provide insights and strategies from high-performing organizations.

Six Smart Ways to Stay in Communication with Your Referral Sources2023-04-12T16:04:13-04:00

Three Missed Opportunities for End-of-Life Discussions

September/October 2021 Issue
SUBSCRIBER CONTENT Recent research discusses the missed opportunities for discussions about end-of-life, including advance care planning, palliative care, discontinuation of disease-directed treatment, hospice care, and after-death wishes, with outpatients with advanced cancer.

Three Missed Opportunities for End-of-Life Discussions2023-04-12T16:04:14-04:00

DATA POINT: Why Does Primary Care Spending Matter?

January/February 2021 Issue
Why should we be concerned that primary care spending appears to be declining? A growing body of evidence measuring health system performance and population health outcomes finds that greater primary care is associated with better value: enhanced population health outcomes, greater equity, and more efficient use of healthcare resources.

DATA POINT: Why Does Primary Care Spending Matter?2023-04-12T16:04:23-04:00

2021 Payer Opportunities Collection

Your organization has new opportunities to grow and expand payer partnerships. A one-size-fits-all approach no longer exists, which is why we have bundled four articles from the Nov-Dec 2020 issue of The Remington Report into this complimentary compendium. Read about how to expand internal and external education, leverage critical investments in your workforce, and enhance actionable data needed by payers.

2021 Payer Opportunities Collection2023-04-12T16:04:23-04:00

Physicians are Expanding Care Into the Home

November-December 2020 Issue
Home-based medical care models are shaking-up the $260 billion primary care market. Three physician models, new reimbursement models, telehealth, and chronic care management are key drivers.

Physicians are Expanding Care Into the Home2023-04-12T16:04:24-04:00

Home-Based Primary Care: It’s Time to Think Beyond the Clinic Walls

September/October 2020 Issue
Primary care is being rapidly redefined today right before our eyes. As healthcare evolves, patient needs expand and providers must look for new and better ways to achieve a patient-centered model of practice. Read the four reasons home-based primary care is opening doors and opportunities for patients and providers today.

Home-Based Primary Care: It’s Time to Think Beyond the Clinic Walls2023-04-12T16:04:27-04:00

Stronger Strategic Partnerships: Data Exchange is a Driving Factor

September/October 2020 Issue
Payers are interested in talking about the data. In particular, they are interested in understanding how home care providers are able to reduce their penalties and increase their rewards in a value-based payment system. Learn how one organization is advancing conversations.

Stronger Strategic Partnerships: Data Exchange is a Driving Factor2023-04-12T16:04:28-04:00

16 Things To Know About Stark Laws

The Stark Law is a set of U.S. federal laws that prohibit physician self-referral, specifically a referral by a physician of a Medicare or Medicaid patient.

16 Things To Know About Stark Laws2023-04-12T16:04:47-04:00
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