AMA proposing specialty care, payment models to CMS

May 18, 2014
AMA proposing specialty care, payment models to CMS

(HealthDay)—The American Medical Association (AMA) and other specialty societies have created new care delivery and payment models that they expect to be supported by the Centers for Medicare & Medicaid Services, according to a recent AMA news release.

The AMA has recommended detailed actions CMS should take in developing new specialty payment models, including allowing flexibility; offering risk protection for physicians; and providing timely, accurate data so physicians can benchmark their progress.

While CMS sought comments on the procedural episodes and complex chronic disease approaches, the AMA suggested that a model designed around uncomplicated chronic disease management could help prevent patients from developing more advanced disease and experiencing acute episodes. In addition, the AMA suggested another potential model for specialty-specific, risk-adjusted global payments. This would allow larger practices or multi-specialty groups to design comprehensive, specialty-specific or condition-specific global payments that would cover all services needed to treat a specific condition managed by that specialty.

"A relatively small number of different types of reforms can be developed that will be applicable to a broad range of specialties and the majority of patients within each specialty," the AMA said in its comments to CMS.

Explore further: Improvements made to CMS online directory of physicians

More information: More Information

Related Stories

American medical groups protesting physician cuts

November 25, 2013

(HealthDay)—Medical societies are taking action against the mass cancellations of physicians in Medicare Advantage plans in many states, according to an article published online Nov. 22 in Medical Economics.

AMA provides resources to aid physicians' collections

April 6, 2014

(HealthDay)—The American Medical Association (AMA) has released resources to help doctors confront policy jumpers who may pose a financial risk to physicians during the Affordable Care Act's 90-day premium grace period, ...

AMA alliance session explores the resilient medical family

May 2, 2014

(HealthDay)—Practical, evidence-base strategies should be employed to maintain a resilient medical family, according to an educational session to be hosted during the American Medical Association (AMA) Alliance National ...

Recommended for you

Rio athletes may benefit from 'leaky gut' therapy

June 29, 2016

'Leaky gut' is a condition where the thin mucosal barrier of the gut, which plays a role in absorbing nutrients and preventing large molecules and germs from the gut entering the blood stream, becomes less effective.

Doctors swamped by 'e-medicine' demands

June 29, 2016

(HealthDay)—Doctors say they're drowning in electronic paperwork, feeling burned out and dissatisfied with their jobs thanks to countless hours spent filling out computerized medical forms, researchers report.

E-cigarette vapors could be toxic to mouth, study finds

June 28, 2016

A new UCLA study suggests that e-cigarettes may not be significantly safer than tobacco cigarettes. The research, which was conducted on cultured cells, found that e-cigarettes contain toxic substances and nanoparticles that ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.