Is Your Organization Leaving Money on the Table?

JEMS

Across the U.S., unpaid emergency transport bills are costing counties millions of dollars each year. For example, in 2017, Commissioners in Palm Beach County, Florida, approved writing off $11.8 million in “uncollectable emergency transport patient accounts.” Similarly, the city of Berkeley, California, reported a five-year average of uncollected ambulance fees amounting to $2.6 million per year.

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Despite Initial Challenges, Oncology Practices See Benefit Moving to Oncology Care Model

Targeted Oncology

Oncology practices that adopt the Oncology Care Model (OCM) developed by the Centers for Medicare & Medicaid Services (CMS) face a tough road. The transformation requires changes in infrastructure encompassing administrative and care management service lines, as well as a change in philosophical outlook for clinicians and physician leadership; translational services for clinical interpretation; and internal reporting that is both costly and complex.

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OCM Data Analysis, Predictive Analytics, and Future Value-Based Payment Modeling

At the Association of Community Cancer Centers (ACCC) Annual Meeting and Cancer Center Business Summit (March 20-22, 2019; Washington, DC), Journal of Clinical Pathways sat down with Charles Saunders, MD, chief executive officer, Integra Connect, and Lucio N Gordan, MD, managing physician and president, Florida Cancer Specialists, to preview their session on current Oncology Care Model (OCM) performance data and the future of value-based payment modeling post-OCM.

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A value-based EHR

MGMA

During the fee-for-service era, EHRs rose to prominence as tools to automate documentation of patient encounters, then inform subsequent billing workflows.

With the continued growth of value-based care, however, administrators are finding that their practices’ areas of focus are beginning to change dramatically. MGMA’s 2018 Regulatory Burden Survey not only captured the frustration felt as practices get their arms around MIPS and emerging alternative payment models (APMs) — cited by 88% as “very or extremely burdensome” — but also the increasing pains attributed to their EHRs, led by a lack of interoperability (80%) and need to accommodate new government-imposed requirements (77%).

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Reviewing Current OCM Performance Data and the Road Ahead

journal of clinical pathways - Implementing Technology in Community-Based Practice Offers Multiple Advantages

Charles Saunders, MD, chief executive officer, Integra Connect, and Lucio N Gordan, MD, managing physician and president, Florida Cancer Specialists, discussed recurring challenges, new pressure points, and opportunities to close performance gaps after the midway point of OCM in a session at the Association of Community Cancer Centers (ACCC) Annual Meeting and Cancer Center Business Summit (March 20-22, 2019; Washington, DC).

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