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Medicare will press ahead with a new bundled payment policy for lower extremity joint replacements next year, CMS announced in a final rule issued Nov. 16.

Considering throwing your name into the Accountable Care Organization (ACO) applicant pool? Curious to see what type of coordinated efforts across multiple providers CMS has in mind?

You can now read HHS’ list of 32 inaugural ACOs, all of whom were chosen due to being established partnerships with “experience offering coordinated, patient-centered care, and operating in ACO-like arrangements,” according to a CMS Innovation Center statement.

Photo by Grant HuangYou’ll face less risk and fewer administrative hassles if you choose to participate in an accountable care organization (ACO), thanks to changes made in the final ACO rule, released today in the Federal Register. CMS took pains to review feedback from physician advocacy groups and believes the final rule takes many of their biggest concerns into account, top agency officials said during a conference call with reporters.

Image from innovations.cms.govPrimary care practices would have a shot at collecting some extra cash while trying a new, more comprehensive clinical approach under a new CMS pilot program. The Comprehensive Primary Care Initiative (CPCI) is a four-year program that pay you an extra $20 per patient, per month, on top of regular Medicare fee-for-service charges. The $20 rate, dubbed a “monthly care management fee,” is good for the first two years; then the rate falls to $15 per patient, per month. Additional cash: If after two years, the total cost incurred by participating practices is less than that of non-participating practices, a portion of the savings is shared with participants.

Image used with permissionYour peers feel most challenged by new, upcoming physician payment models that put more financial risk on practices and by earning Medicare's electronic health record (EHR) incentive bonus, according to the latest research from the Medical Group Management Association (MGMA). The organization's fourth annual "Medical Practice Today: What Members Have to Say" report, based on email responses from 1,190 MGMA members, found the following five issues to be the top challenges of running a practice ...

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