Susan Dentzer Discusses Obstacles to Adoption of Value-Based Care
January 10th 2017The biggest challenge in moving to value-based care is the mindset of providers accustomed to volume-based care, as they must work with payers to change the systems, said Susan Dentzer, president and CEO of The Network for Excellence in Health Innovation.
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Dr Kate Goodrich Discusses CMS Expectations for MACRA and APM Participation
January 9th 2017CMS understands that not all physicians will report quality measures under the Medicare Access and CHIP Reauthorization Act or join advanced alternative payment models, especially immediately, said Kate Goodrich, MD, director of the Quality Measurement and Value-Based Incentives Group in CMS. However, there are efforts in place to make it as easy as possible for these providers, which will hopefully increase participation over time.
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Stuart Genschaw Discusses His Practice's Transition Towards Implementing the OCM
January 8th 2017As Cancer & Hematology Centers of Western Michigan starts to participate in the Oncology Care Model (OCM), it has dedicated its resources to understanding the model and analyzing data, said Stuart Genschaw, executive director of the Cancer & Hematology Centers of Western Michigan. Throughout this process, however, the practice’s main focus is always on “providing great care” to its patients.
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Christine Bernsten on Health Share of Oregon's Successes and Challenges
January 7th 2017Cooperation and trust are key in getting partners to work well together as part of a coordinated care organization (CCO), said Christine Bernsten, senior manager of delivery systems transformation for Health Share of Oregon.
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Dr Roy Beveridge: Value-Based Care Means Better Reimbursement for Physicians
January 6th 2017Physicians have shown great interest in understanding how to transition into value-based processes, especially with the new rules under the Medicare Access and CHIP Reauthorization Act (MACRA), said Roy Beveridge, MD, chief medical officer of Humana. While these transitions take time and effort, they eventually lead to physicians being reimbursed more for longer visit times and improved outcomes.
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Dr David L. Porter: Combining CAR-T Cells With Other Immunotherapies the Next Logical Step
January 5th 2017David L. Porter, MD, of the University of Pennsylvania Health System, explains why treating tumors with a combination of CAR-T cells and other immune-stimulating agents is a logical next step for investigators.
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Debra Madden on Unrealistic Expectations For Immuno-Oncology Treatments
January 4th 2017Many patients have learned about the advances in immunotherapy treatments for cancer, but the media may not be portraying all the complexities and potential harms of these agents, according to Debra L. Madden, cancer research advocate and patient representative. Madden mentioned that biomarker research could help determine which patients are most likely to benefit from immuno-oncology.
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Dr Michael Chernew's Expectations for the Medicare Advantage VBID Model
January 3rd 2017Although there are still some unknowns surrounding the new Medicare Advantage Value-Based Insurance Design (VBID) Model, beneficiaries are likely to appreciate the reduction in copays for high-value care, said Michael E. Chernew, PhD, the Leonard D. Schaeffer Professor of Health Care Policy and director of the Healthcare Markets and Regulation Lab in the Department of Health Care Policy at Harvard Medical School.
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Dr Carrie Stricker Discusses the Importance of the Patient Voice in Oncology Treatment Decisions
January 2nd 2017Oncologists must recognize the importance of the patient voice when making treatment decisions so that the treatment plan can be adapted to each patient’s goals and desires, said Carrie Stricker, PhD, RN, AOCN, chief clinical officer and co-founder of Carevive.
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Pam Mangat Discusses ASCO's Progress on TAPUR Study
January 1st 2017The TAPUR clinical trial is rapidly expanding to new sites, but the researchers have not yet collected enough data to analyze and publish the results, according to Pam Mangat, MS, associate director TAPUR study at the American Society of Clinical Oncology.
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Dr Ashish K. Jha Discusses Patients' Role in Bundled Payments
December 30th 2016Gathering patient-reported outcomes and experiences is essential to evaluating the success of bundled payment models, said Ashish K. Jha, MD, MPH, the K.T. Li Professor of Health Policy at the Harvard T.H. Chan School of Public Health and the director of the Harvard Global Health Institute.
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Dr Mark Fendrick Explains Bipartisan Appeal of Value-Based Insurance Design
December 28th 2016The new Medicare Advantage value-based insurance design (VBID) demonstration, which is supported by both the Obama administration and the Republican House of Representatives, has sparked interest from additional states that want to be involved in this access-increasing program, said A. Mark Fendrick, MD, director of the Center for Value-Based Insurance Design at the University of Michigan.
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Jonathan Hirsch on Making Data Usable for Oncologists at the Point of Care
December 26th 2016Oncology care is often spread out across multiple facilities and providers, so health IT innovators use software to integrate data from these many locations and deliver it to the point of care, according to Jonathan Hirsch, founder and president of Syapse.
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Renee Murray on Camden Coalition's Relationships With Homeless Population
December 25th 2016When working with a homeless population, the Camden Coalition has learned that they need to establish open lines of communication, build a sense of trust, and follow through on their promises to patients, according to Renee Murray, associate clinical director of Care Management Initiatives at Camden Coalition. Often times these patients have more urgent priorities or may not believe that the Camden Coalition team is actually dedicated to working with them.
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Dr Sean Khozin Discusses How FDA Regulatory Process Helps Advance Precision Oncology
December 24th 2016FDA’s regulatory science activities are working to advance the field of precision oncology, in part by using predictive analyses to identify patients that may be good candidates for certain therapies, according to Sean Khozin, MD, MPH, senior medical officer at the FDA.
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Dr Stuart Goldberg on How to Collect Data in a Way That Makes Oncologic Sense
December 23rd 2016The kind of data oncologists need to move towards value-based care isn’t easily accessible in patient electronic health records, but new platforms like Cancer Outcomes Tracking and Analysis (COTA) are trying to make it easier, said Stuart Goldberg, MD, chief medical officer, COTA, John Theurer Cancer Center.
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Dr Anne Schmidt Discusses Reimbursing for Telemedicine
December 22nd 2016Until there is more data to support the outcomes of using telemedicine, payers will be more cautious about getting into reimbursing for the technology, said Anne Schmidt, MD, associate medical director at Blue Cross and Blue Shield of Alabama.
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Dr Eleanor Perfetto Expects Increased Patient Engagement and Transparency
December 20th 2016Patients will become more actively involved in their healthcare decision making as they become better informed, according to Eleanor Perfetto, PhD, senior vice president of strategic initiatives for the National Health Council. She also discussed the importance of providing transparency to patients so they fully understand their healthcare choices.
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Dr Joseph Alvarnas Discusses Clinical Risk in Value-Based Cancer Care
December 18th 2016The new era of data informatics tools can help providers and payers understand the tiers of risk that determine the economics of care delivery, which is crucial to value-based cancer treatment, according to Joseph Alvarnas, MD, of the City of Hope and editor-in-chief of Evidence-Based Oncology
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Dr Kate Goodrich Discusses Future of CMS Core Measures
December 17th 2016CMS must learn from implementation of new quality measure sets as it refines and expands the Core Quality Measure Collaborative, Kate Goodrich, MD, director of the Quality Measurement and Value-Based Incentives Group in CMS.
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Dr Fatima Cody Stanford Outlines the Lack of Policies for Obesity Treatment
December 16th 2016The general public and policy makers still still view obesity as a personal failing, which explains why there has been a lack of progress to develop policies for obesity treatment, said Fatima Cody Stanford, MD, MPH, MPA, FAAP, FTOS, of Harvard Medical School and Massachusetts General Hospital.
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Jonathan Hirsch: How Syapse Uses Health IT to Implement Precision Medicine
December 15th 2016Implementing precision medicine is a complex undertaking that cannot be accomplished without the use of health IT tools, according to Jonathan Hirsch, founder and president of Syapse. He identified the 4 key functions of healthcare IT that allow Syapse to expand access to precision medicine.
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Dr Katherine Schneider on the Disappointments and Realities of MACRA Final Rule
December 14th 2016The Delaware Valley Accountable Care Organization (ACO) was disappointed to learn that under CMS’ Medicare Access and CHIP Reauthorization Act (MACRA) final rule, the practice would not be categorized as an advanced alternative payment model (APM) and would likely have less of an upside under the Merit-based Incentive Payment System (MIPS), said Katherine Schneider, MD, president of the Delaware Valley ACO. However, Dr Schneider said she understands CMS’ point of view and why it needed to make changes to the final rule.
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Barry Russo on Quality Measures Data and Value Frameworks
December 13th 2016Barry Russo, CEO of The Center for Cancer & Blood Disorders, said that his practice continues to collect quality and claims data from a number of sources, even though it isn’t easy. Russo also said that payers are not particularly interested in participating in a value framework, instead choosing to focus on the oncology care model (OCM).
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Dr David Blumenthal on the Origins of "The Playbook"
December 12th 2016After realizing that improving care for the sickest, most expensive patients is crucial to a high-performing healthcare system, 5 philanthropic organizations joined forces to create “The Playbook: Better Care for People With Complex Needs,” said David Blumenthal, MD, MPP, president of The Commonwealth Fund.
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Allison Silvers Discusses How Innovative Funding Models Can Drive Demand for Palliative Care
December 11th 2016Innovative funding models like value-based payments can change providers’ incentives and drive them to seek solutions like palliative care, said Allison Silvers, vice president of payment and policy at the Center to Advance Palliative Care.
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