Industry related news and articles.

The Centers for Medicare & Medicaid Services recently unveiled their Primary Care First (PCF) model to improve the quality of care for Medicare patients while reducing costs. PCF consists of two different payment model options and is based on the Comprehensive Primary Care Plus program. This new model will be offered in 26 states and regions beginning January 1, 2020, and may roll out to additional regions as early as 2021.

The Seriously Ill Population (SIP) model under PCF is designed for high-need, high-risk patients who are receiving fragmented or inadequate care. CMS seeks to better coordinate their care and avoid costly hospitalizations. To achieve this, CMS will be assigning SIP patients to participating organizations, and paying the providers a per beneficiary, per month fee to coordinate their care and keep them out of the hospital. Additional reimbursement is available for face-to-face visits and for achieving quality targets. Here are four reasons hospices should seriously consider participating in the SIP model:

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Acclivity Health’s CEO weighs in on industry-changing Primary Care First model.

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.

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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.