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Bundles and Caps: What Are You Wearing?

Terry Ketchersid, MD, MBA, Chief Medical Officer - Integrated Care Group
February 6, 2017 Leave a Comment

Stadium crowd bundled and capped

How ‘bout that Super Bowl? Did you watch the entire game? Have a new favorite commercial? Some of you were probably decked out in your favorite team’s attire. Others (like yours truly) packed that … [Read more...]

Filed Under: Blog, ESRD QIP Tagged With: BPCI, bundled payment, Bundled Payments for Care Improvement Initiative, capitated payment, CMMI, CMS, Comprehensive Care and Joint Replacement Model, ESCO, Harvard Business Review, MA, MACRA, Medicare Advantage, Patients Act, prospective payment system, QIP, Quality Incentive Program, Terry Ketchersid

APM: Just Another TLA?

Terry Ketchersid, MD, MBA, Chief Medical Officer - Integrated Care Group
August 1, 2016 3 Comments

Diagram of offense or defense

In the world of TLAs (three-letter acronyms), the APM, or alternative payment model, is a TLA we certainly need to pay attention to. APMs are a collection of new healthcare payment frameworks that are … [Read more...]

Filed Under: Alternative Payment Model (APM), Blog Tagged With: Accountable Care Organization, ACO, Affordable Care Act, APM, BPCI, Bundled Payments for Care Improvement, Center for Medicare and Medicaid Innovation, CJR, CMMI, CMS, Comprehensive Care and Joint Replacement Model, health and human services, HHS, MACRA, Medicare Shared Savings Program, MIPS, MSSP, New England Journal of Medicine, Robert Kocher, Sylvia Burwell, Terry Ketchersid

Quality: More Than Checking a Box

Terry Ketchersid, MD, MBA, Chief Medical Officer - Integrated Care Group
February 15, 2016 Leave a Comment

For a number of months, I have been spending a lot of time thinking about value-based healthcare. As mentioned in this blog before, we are in the midst of a substantial transition, one that moves us … [Read more...]

Filed Under: Blog, MIPS Tagged With: ACO, Agency for Healthcare Research and Quality (AHRQ), BPCI, dialysis QIP, EHR, ESCO, ESRD, Meaningful Use, Merit-Based Incentive Payment System, Michael Porter, MIPS, MU, National Quality Measures Clearinghouse, NEJM, Office of the National Coordinator for Health IT (ONCHIT), physician VM, PQRS, QIP, Terry Ketchersid, value-based healthcare

Migrating from Volume to Value: Are you ready?

Terry Ketchersid, MD, MBA, Chief Medical Officer - Integrated Care Group
November 2, 2015 Leave a Comment

Migrating geese

Can you believe it’s already November? Seems like only a few months ago we were discussing the SGR repeal. Now the leaves have fallen, college football is in full swing, and as I type, the World … [Read more...]

Filed Under: Blog, MIPS Tagged With: alternative payment models, APM, BPCI, Bundled Payments for Care Improvement, CCJR, chronic care management codes, Comprehensive Care and Joint Replacement program, ESCOs, MIPS, NEJM, Robert Mechanic, Sylvia Burwell, Terry Ketchersid

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