David PittmanOvjeren akaunt

@David_Pittman

Health Policy and Communications Advisor with . Former health care and eHealth reporter. alum.

Washington, D.C.
Vrijeme pridruživanja: ožujak 2009.

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  1. Prikvačeni tweet

    ACOs are working to change our health system for the better. They’re demonstrating positive results. We need to be careful ACO participation remains healthy. A take from (me included) in below:

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  2. proslijedio/la je Tweet

    Every other data point on the Next Gen ACO model has been positive. It's a successful program that's been praised by . It'll be disappointing to see it fade away.

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  3. This has been a very successful program, yet the agency doesn’t appear to be taking steps to expand it. Why not?

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  4. Here’s your periodic reminder that we should talk with greater specificity when discussing “value-based care.” It’s a term that gets thrown around too much and has become cliche, which undermines the good work that’s being done out there.

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  5. For the payment reform to work, you need to have technology work well. But the tech isn’t there today, and that’s holding up health care’s broader efforts on payment reform. That point was totally absent at . 2/

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  6. One reflection on : is working hard to address health IT/EHR issues and and have an emphasis of payment reform. But it's not clear they've connected the dots on each other's work. 1/

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  7. Lots of good points makes here. My read is this: Even if we move to a single-payer system (which isn’t close to happening), you need some check on our FFS payment system. Alternative payment models provide that, but this wonky area too often is overlooked.

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  8. While the growth in APM participation is good, it’s still well behind what we anticipated when MACRA was passed in 2015. Plus, that 5% bonus of a carrot is going away soon. Policymakers need to focus more on APM participation or risk losing what momentum we have.

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  9. Oversight that efforts of didn’t make this list? 2020 will be telling for it. New leader. Applications for multiple major new, Trump-era models opening. Obama-era models sunsetting. It’s a transition year, for sure and payment reform remains a priority for .

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  10. There’s a ton of effort and administrative cost with little to no reward. What incentive is that? Here’s an idea: Let’s have Congress re-examine this program and try to better incentivize alternative payment models, which was the point of MACRA in the first place.

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  11. What’s the significance of this: Last year, even for clinicians who achieved perfect scores received a meager 2% bonus. Most earned much less than that. Since the program is budget neutral, more docs hitting targets and avoiding penalties means less money to go around.

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  12. proslijedio/la je Tweet

    Welcome to the job, ! You come to at an exciting time. Eager to see what can be done under your leadership.

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  13. Technology is a tool used by those in value-based payment arrangements. It's not value-based care by itself. But to date, members have done a terrible job demonstrating tech's value to those in payment models like ACOs.

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  14. The purpose of models is to lower Medicare spending, improve care quality, or both. It’s not to pay PCPs more, although better use of primary care may lower spending in the long term. The problem with getting off FFS is that docs can make a ton of money under it.

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  15. Working for , we get a lot of pushback on ACOs not saving enough money. But 1-2% less Medicare spending — which is what ACOs have proven to save — translates into HUGE dollars. Can we not appreciate this work a little bit more?

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  16. The ACO Investment Model has been a success by any standards. According to , participants lowered Medicare spending by 2.3% in the first year and 3% in the second year. This helps smaller and rural practices form ACOs.

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  17. So much has been written about ACOs’ savings being modest, but evidence is showing their generated savings has gotten bigger each year. Let’s see what we can do to grow participation and increase potential savings.

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  18. Accountable care organizations, for example, have saved 1-2% on aggregate. That shouldn’t be dismissed. We need to refine today’s efforts to get more savings tomorrow. Use what we’ve learned over the past several years to do better going forward and generate larger savings. 3/

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  19. We have a crisis looming with health spending in this country. Our government and families are going broke paying for medical bills we can’t afford. We need a multi-pronged approach, and payment reform needs to be one of those efforts. 2/

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  20. A good thought-provoking piece by , asking if value-based care working after nearly a decade of trying. There are “more like singles than home runs,” as put it. While true, we can’t write these efforts off as unsuccessful. 1/

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  21. proslijedio/la je Tweet

    Very positive results! would love to see create another opportunity for provider organizations to join the ACO Investment Model. This has worked and gives an opportunistic hand to those who need a boost.

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