Industry related news and articles.

The Centers for Medicare & Medicaid Services recently announced a new primary care payment model that will provide an alternative to Comprehensive Primary Care Plus. This new model, called Primary Care First, will be offered in 26 states and regions beginning Jan. 1, 2020. Department of Health and Human Services Secretary Alex Azar predicts that the models will enroll 25 percent of traditional Medicare beneficiaries and providers, who must apply to take part, and the program may roll out to all states after five years pending its success.

Here’s what CMS has released so far about their new initiative.

Benefits of Primary Care First

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Less than 40 years ago, when you went to the Emergency Room at your local hospital, you had no idea what kind of doctor you’d see. Staff physicians in the hospital took shifts in the ER, so you might have an obstetrician casting your broken wrist or a psychiatrist treating your heart palpitations. Beginning in 1979, Emergency Medicine was recognized by the American Board of Specialties. Over the next decades, EM specialists became thoroughly integrated into the continuum of care, so that today, patients coming into to the ER can expect treatment and a proper diagnosis from the right physician. 

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Eighty percent. That’s how many Americans would like to die at home. But despite the fact that 70 percent of Americans die from chronic illnesses[1], giving them time to anticipate their deaths, over 50 percent still die in hospitals or nursing homes.[2] Of the Medicare patients who died in 2016, only 48% received hospice services at the time of death[3], even though every patient was eligible for six months of hospice care.

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Dr. Roma Tickoo, MD, MPH PCP, discusses the role of the generalist and how they too, are important in palliative care journey.