Friday, July 20, 2012

New ACOs Announced; Eight in New York

The Centers for Medicare & Medicaid Services announced 89 new accountable care organizations (ACO) to the Medicare Shared Saving Program. With these new ACOs, the number of providers participating in Medicare Shared Savings initiatives now totals 154.

The following nine ACOSs are New York based:

•Accountable Care Coalition of Syracuse, LLC, located in Syracuse, New York, is comprised of ACO group practices, with 105 physicians. It will serve Medicare beneficiaries in New York.

•Asian American Accountable Care Organization, located in New York City, is comprised of networks of individual ACO practices, with 239 physicians. It will serve Medicare beneficiaries in New York.

•Balance Accountable Care Network, located in New York City, is comprised of hospitals and networks of individual ACO practices, with 1,069 physicians. It will serve Medicare beneficiaries in New York.

•Beacon Health Partners, LLP, located in Manhasset, New York, is comprised of networks of individual ACO practices, with 261 physicians. It will serve Medicare beneficiaries in New York.

•Chautauqua Region Associated Medical Partners, LLC, located in Jamestown, New York, is comprised of partnerships between hospitals and ACO professionals, with 35 physicians. It will serve Medicare beneficiaries in New York and Pennsylvania.

•Healthcare Provider ACO, Inc., located in Garden City, New York, is comprised of networks of individual ACO practices, with 395 physicians. It will serve Medicare beneficiaries in New York.

•Mount Sinai Care, LLC, located in New York City, is comprised of networks of individual ACO practices and a hospital(s) employing ACO professionals, with 2,249 physicians. It will serve Medicare beneficiaries in New York.

•ProHEALTH Accountable Care Medical Group, PLLC, located in Lake Success, New York, is comprised of ACO group practices, with 281 physicians. It will serve Medicare beneficiaries in New York.

•WESTMED Medical Group, PC, located in Purchase, New York, is comprised of ACO group practices, with 250 physicians. It will serve Medicare beneficiaries in Connecticut and New York.
Meanwhile, applications for the next round of ACOs will open Aug. 1 for organizations that want to participate in the Medicare Shared Savings program, starting Jan. 1, 2013.

Friday, July 13, 2012

Comprehensive Primary Care (CPC)Webinar, July 16th: Everything You Wanted to Know to Apply to the CPC Initiative

The Comprehensive Primary Care (CPC) initiative is a multi-payer program created by the Centers for Medicare and Medicaid (CMS) to foster collaboration with payers to strengthen primary care. Medicare has worked with several commercial and state health insurance plans to develop bonus payments to primary care doctors who better coordinate the care of their patients. The Capital District and Hudson Valley Regions of New York were selected as focus regions at this time. Primary care practices in Albany, Columbia, Dutchess, Greene, Orange, Putnam, Rensselaer, Rockland, Schenectady, Sullivan, Ulster, and Westchester counties are invited to apply to participate in this initiative. 75 practices will be selected.

Selected practices will receive a $20 (average) per-beneficiary per-month care management fee on behalf of aligned Medicare beneficiaries who receive care in selected practices, as well as an opportunity to earn shared savings; aligned private payers are each offering their own monthly support payments and an opportunity to earn shared savings to practices in their networks.

CMS is hosting a webinar that will provide information about the program:

July 16, 2012 at 7:00 p.m. ET– Everything You Wanted to Know to Apply to the CPC initiative. Click Here to register.

Additional information can be found on the CMS Innovation Center website.
NYC REACH hosting a FREE EHR Vendor Fair July 18th

Attend on July 18th to find the perfect EHR for your practice.

NYC REACH, the federally designated regional extension center for New York City, is hosting a free electronic health record (EHR) vendor fair on July 18th from 4:30-8:00 p.m. in downtown Manhattan. All providers, nurses, physician and medical assistants, as well as office managers and their support staff, are encouraged to attend to learn how EHRs can prepare medical practices for the future. Don’t miss this opportunity to view an array of products, attend vendor demonstrations, consult with NYC REACH representatives, learn about incentives, and network with other practices over complimentary refreshments.

To register and for more information, visit www.nycreach-vendorfair.eventbrite.com.

Thursday, July 05, 2012

NYS MRT (Medicaid Redesign Team) Waiver/PCMH (Patient Centered Medical Home)Comment Request

I am posting an email request from Ronda Kotelchuck, CEO, Primary Care Development Corporation. She and her organization have many great accomplishments. Please consider contributing to the advancement to PCMH in NYS. SV

Dear Colleague,



I am writing to you because I know you have a strong belief in the power of primary care, particularly as it is organized in a "Patient Centered Medical Home" model, to improve health outcomes and reduce health care costs.



We now have a singularly important opportunity to invest in primary care and the medical home model through a $10 billion “MRT (Medicaid Redesign Team) Waiver” that New York State is pursuing. We are very encouraged that the MRT Waiver framework includes initiatives to expand primary care, health homes, and the medical home model. But we need your help to ensure that sufficient funding in the final waiver is dedicated to these important priorities. We are now in a very short public comment period (ending around July 15).



If you want to make sure New York invests in an integrated care environment with a sufficient patient-centered primary care at its core, please let the Department of Health know. You can email the “Waiver Team” through this website (we can then track correspondence). Please tell DOH what you think is needed to expand the medical home model. We have some suggestions on the website www.nyprimarcarehome.org, but feel free to make your own recommendations too.



If you have any questions, please contact me or Dan Lowenstein, PCDC Director of Public Affairs, at dlowenstein@pcdc.org, 212-437-3942.



Sincerely,



Ronda



Ronda Kotelchuck, CEO

Primary Care Development Corporation





Ronda Kotelchuck

Chief Executive Officer

Primary Care Development Corporation

22 Cortlandt Street, 12th Floor

New York, NY 10007

P: (212) 437-3917

F: (212) 693-1860

E: rkotelchuck@pcdc.org

W: www.pcdc.org