Contents tagged with payment
TAFP President issues statement on congressional failure to avert cut in Medicare physician fees
Congress has had more than a year to repeal the flawed … more
UPDATE: AAFP issues action alert to block Medicare pay cut
Use Speak Out to contact congressional representatives
Yet another measure that would have delayed the pending 21.2 … more
TAFP members voice opinions on national health care reform on Austin NPR station
Four family physicians were featured on KUT, the Austin branch of National Public Radio, as part … more
By Tom Banning
There is not a self-respecting health policy analyst here or anywhere in the country who will say otherwise – we need to invest in and produce more primary care physicians.
The conventional economic wisdom, backed by common sense and an abundance of evidence drawn from the real world, is that patients with ready access to primary care receive more timely and optimal health care services with better outcomes. Primary care physicians provide preventive, coordinated, and continuous care which results in less invasive and costly medical intervention and reduces the probability of redundant or unnecessary services.more
AAFP Board decides to continue participation in the RUC
The verdict is in. AAFP will continue participation in the AMA/Specialty Society Relative Value Scale Update Committee, better known as the … more
WellPoint, the country’s second-largest health insurance company, is the latest industry leader investing significant funds into the patient-centered medical home. And while none of their 34 million enrollees are Texans, this still adds weight to the argument that spending more for primary care—upwards of $1 billion—will save money down the road.
Starting this summer, WellPoint will pay primary care physicians more through an increase to their fee-for-service schedule of around 10 percent, by paying them for “non-visit” services currently not reimbursed (like preparing care plans for patients with multiple chronic conditions), and through shared savings payments for achieving quality outcomes and reducing medical costs. Meeting the shared savings goals alone could make a practice eligible to earn 30 to 50 percent more than they earn now for the same service.
In addition to paying primary care physicians more, the company will enhance “information sharing,” provide care management support from WellPoint’s clinical staff, and incorporate best practices from their medical home pilots, the company said in a press release. In return, the physicians would have to meet additional requirements including expanded access for patients and maintaining a chronic disease registry.more
Billing and coding
ICD-10 guidance from AAFP and Family Practice ManagementWith the Oct. 1 deadline looming, both AAFP and the AAFP Family Practice Management journal have compiled a set of … more
Managed care contract negotiation guideTo help members through the maze of managed-care contract negotiations, AAFP has developed a 12-page guide that takes members step-by-step … more
Payment and system reform
Watch “Family physicians embracing change”
MORE VIDEOS • What is an ACO?
• What is direct primary care?
• A physician-led Austin ACO
Medicare Access and … more
HHSC eliminates Medicaid payments of Medicare Part B coinsurance, deductibles for dual-eligible patients
As part of an effort to reduce the cost of Medicaid to the state, the 82nd … more