Patient-Centered Care Requires Patient-Centered Outcomes Measures

By Marybeth Farquhar, PhD, MSN, RN on Jun 6, 2017 2:07:06 PM

The drive toward value-based care is requiring the healthcare industry to make a 180-degree turn from where we were just a few years ago. We’re moving away from a system focused on treating sickness to one that strives for wellness; from encouraging volume to demanding value; from filling beds to penalizing readmissions; and finally, from a system centered on the provider to one that rightfully revolves around the patient.

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URAC Releases Standards for Patient Centered Medical Home Certification

By URAC Staff on Feb 22, 2017 11:03:53 AM

Announcement provides proprietary information to accelerate healthcare transformation

Washington, DC -- Independent accreditor URAC today made public its proprietary standards for the organization’s Patient Centered Medical Home (PCMH) program. The announcement, which provides a complimentary download of the PCMH Certification standards, is part of an effort to help primary care practices nationwide implement best practices for providing value-based, quality medical services.

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The Patient-Centered Medical Home Poster Child

By James (Larry) Holly, M.D. on Dec 27, 2016 1:37:39 PM

By James (Larry) Holly, M.D., CEO, Southeast Texas Medical Associates

Southeast Texas Medical Associates’ (SETMA’s) pilgrimage toward Patient-Centered Medical Home (PCMH) began in 1999 as a result of our study of Peter Senge’s The Fifth Discipline. In that study, we identified ten principles which would guide our development in both our practice and in the electronic medical record (EMR) tool which we would design.  (see SETMA: May, 1999 - Four Seminal Events)  Ten years into our development, we realized that those ten principles were also the principles of PCMH.

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Final MACRA Rule: Five Highlights You Need to Know

By URAC Staff on Oct 31, 2016 2:00:00 PM

With the final MACRA rule released on Oct. 14, the industry is now getting the chance to dig into all of the details of this 2,300-page document, especially the act’s Quality Payment Program, which replaces the Sustainable Growth Rate formula with two tracks of reimbursement—the Advanced Alternative Payment Models (APMs) or Merit-based Incentive Payment System (MIPS).

“Folks are now in the process of getting their heads around what’s in the final rule and determining what they have to do to respond in 2017,” said Aaron Turner-Phifer, URAC’s director of government relations and policy. “The most important thing right now is for practices and clinicians to be engaging with their medical societies and educating themselves on the best path forward.”

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Video: Are You Ready for MACRA?  Discover How to Achieve Sustainable Transformation

By URAC Staff on Oct 27, 2016 3:53:05 PM

Watch this video for quick overview about MACRA (Medicare Access and CHIP Reauthorization Act of 2015), and what you need to do to succeed in the new healthcare economy.

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3 Tips to Prepare Your Practice for PCMH Certification

By URAC Staff on Oct 26, 2016 5:00:00 AM

A foundational principle of all healthcare providers is to keep the focus on patients and their specific needs. It’s also the philosophy at the heart of the Patient-Centered Medical Home concept.

This concept and process can serve as invaluable guidance for transforming your practice, especially in the shift toward value-based reimbursement
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CMS Head Sees “Proliferation of Opportunities” for Post-MACRA Providers

By URAC Staff on Oct 7, 2016 1:27:12 PM

Commenting on the imminent release of a final rule on the Medicare Access and CHIP Reauthorization Act (MACRA), Centers for Medicare and Medicaid Services (CMS) Acting Administrator Andy Slavitt anticipated this new healthcare policy will give providers a “proliferation of opportunities.”

The final MACRA rule is expected to be released by CMS on or about November 1. It will implement the Quality Payment Program (QPP) that will replace the Sustainable Growth Rate governing Medicare reimbursements for providers treating Medicare beneficiaries. The QPP promotes value-based, coordinated care over the traditional fee-for-service method. It requires that participating practices cite progress through measures of performance.

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MACRA and the Underserved: What Will Be the Impact?

By URAC Staff on Sep 27, 2016 1:11:02 PM

While most healthcare providers agree the move toward fee-for-value is a positive advance for the healthcare industry, this shift away from fee-for-service isn’t coming without its challenges.

That’s especially true for providers who serve patients in rural and underserved areas and now must implement changes dictated by the Medicare Access & CHIP Reauthorization Act of 2015, or MACRA.

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