Internists say that all healthcare payers should support innovative payment models

Nov. 9, 2017

An internal medicine physician and fellow of the American College of Physicians (ACP) detailed for the House Energy and Commerce Committee his medical practice’s experience participating in the CPC+ program. In testimony at the health subcommittee’s hearing on “MACRA and Alternative Payment Models: Developing Options for Value-based Care,” Louis Friedman, DO, FACP, who is part of Woodbridge Medical Associates a 5 clinician practice in Woodbridge, N.J., conveyed ACP’s message that all public and private payers should support innovative payment and delivery models.

CPC+ was launched by the Centers for Medicare and Medicaid Services (CMS) following the passage of MACRA as a national advanced primary care medical home model with the goal of strengthening primary care through regionally-based multi-payer payment reform and care delivery transformation. ACP strongly supports CPC+, which is the only medical home model that is specifically identified as an advanced Alternative Payment Model (APM) in the Quality Payment Program (QPP). CPC+ offers the potential of greatly strengthening the ability of internists and other primary care clinicians, in thousands of practices nationwide, to deliver high value, high performing, effective, and accessible primary care to millions of their patients.

“Under CPC+, we have expanded our ability to analyze and deliver care and our patients have benefitted in many ways,” said Dr. Friedman. “With the added financial support that the CPC+ program provides, we have been able to offer self-management programs such as nutrition classes and dietitian visits. These are available free of charge to patients, and have been well received by many who need them.”

Dr. Friedman also noted that “Pre-visit planning by ancillary staff and effective monitoring within the EHR have helped us to improve our rates of vaccination, screening procedures for mammograms, and diabetic eye exams. Screening tools for early detection of dementia have helped at-risk families better prepare to care for their loved ones. The CPC+ reimbursement for managing patients with this diagnosis has been helpful with targeting this effort.”

Dr. Friedman went on to suggest to the committee ways in which the program could be improved. He suggested that reporting requirements should be simplified, in keeping with the goal of reducing administrative burdens on physicians as stated in ACP’s Patients Before Paperwork Initiative, as well as new initiatives from the administration. Dr. Friedman also suggested that interoperability among electronic health records software vendors, would allow for better communication between medical offices and hospitals.

EurekAlert! has the full article

Sponsored Recommendations

A Cyber Shield for Healthcare: Exploring HHS's $1.3 Billion Security Initiative

Unlock the Future of Healthcare Cybersecurity with Erik Decker, Co-Chair of the HHS 405(d) workgroup! Don't miss this opportunity to gain invaluable knowledge from a seasoned ...

Enhancing Remote Radiology: How Zero Trust Access Revolutionizes Healthcare Connectivity

This content details how a cloud-enabled zero trust architecture ensures high performance, compliance, and scalability, overcoming the limitations of traditional VPN solutions...

Spotlight on Artificial Intelligence

Unlock the potential of AI in our latest series. Discover how AI is revolutionizing clinical decision support, improving workflow efficiency, and transforming medical documentation...

Beyond the VPN: Zero Trust Access for a Healthcare Hybrid Work Environment

This whitepaper explores how a cloud-enabled zero trust architecture ensures secure, least privileged access to applications, meeting regulatory requirements and enhancing user...