New care model focuses on patients at risk of hospitalization

A new model of care delivery aimed at improving care for patients most at risk of being hospitalized is being assessed by the Center for Medicare and Medicaid Innovation based on its costs and outcomes. Called the Comprehensive Care Physician model, this care delivery system is intended to give at-risk patients access to a physician who will care for them in both the inpatient and outpatient settings.

Sunshine Act proposal threatens doctors' due process for disputes

A newly proposed dispute resolution process for inaccurate Physician Payments Sunshine Act data would deny physicians their due process rights, the AMA told the Centers for Medicare & Medicaid Services in a comment letter last week that calls for fairness and urges the agency to modify the deadline for publication of physicians’ payment data.

Don't proceed with eRx and PQRS audits, AMA tells CMS

Following a Centers for Medicare & Medicaid Services announcement of a proposal to conduct audits of physicians and other eligible professionals who received incentive payments under the Medicare Physician Quality Reporting System and ePrescribing programs, the AMA called on the agency to abandon its plans because of numerous implementation problems.

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