2014 Annual Meeting - Reference Committee A (pdf)

4/22/2014

Reference Committee A for the 2014 Annual Meeting. Members only document. In PDF format.

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Medicare's Value-Based Payment Modifier

9/5/2013

at the methodologies for the Value Modifier and how it may impact payment based on reporting mechanism. Physician … Physician Fee Schedule (MPFS). The agency plans to make payment adjustments in 2015 based on physician … reduction in 2015 payments if they do not participate satisfactorily as a group in Physician Quality …

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Legal Structures and Requirements of ACOs

8/26/2013

or risk-based payment provisions with Payers. However, how the ACO chooses to compensate participating providers … in the agreement. Providers should understand exactly how and for what services physicians will be getting paid … systems: ● Hospitals, physicians, and other providers under common control ● Providers affiliated …

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Clinical and Financial Integration of Physician Practices: Panel Discussion

7/16/2013

physicians considering retirement may choose to remain independent, while others may want to position …Clinical and Financial Integration of Physician Practices: Panel Discussion … fee-for-service to a value-based reimbursement environment, physicians must carefully assess their current …

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Decision-making Process and Discussions

6/20/2013

PLANNING? If a patient chooses not to name a health care agent or discuss goals of care, his or her … to ask for treatments, but physicians are not ethically obligated to provide treatments that would do … treatment option and of no treatment? HOW SHOULD AN ADVANCE CARE PLANNING CONVERSATION BE CONDUCTED …

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Introduction

6/20/2013

. Physicians have an ethical obligation to help patients consider their wishes about care at the end of life … are legal documents that are designed to be read and interpreted by physicians. They allow patients … physicians and surrogate decision-makers (e.g., families) at a loss when the decisions they face …

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Ethical decisions at the end of life

6/20/2013

well physicians know a patient depends on how well they construct the patient's narrative, that is how …Physicians who care for patients at the end of life … be withdrawn? While clinical expertise allows physicians to determine what can be done, what should be done …

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HPHC_contract_nov2010

3/20/2013

the patient chooses referral to a network physician solely on the basis of obtaining preferred benefits …, a physician may protest the decision and a patient may choose whether to continue treatment on a private pay … in this program; rather, our intent is to provide physicians with an understanding of the proposed relationship …

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FallonAnalysis2007

3/20/2013

chooses referral to a network physician solely on the basis of © Copyright 2007 … in order to be sure that physician offices can determine how readily information can be obtained about … of the Individual Physician Health Service Agreement with Fallon Community Health Plan (Fallon …

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CIGNA_analysis_2012

3/20/2013

of the Addendum do not apply to services covered under self-funded plans. Clarification is warranted as to how …, are incorporated into the Agreement and binding upon physicians. Since many provider obligations are included … to Administrative Guidelines. Since Cigna has discretion to determine whether changes are material and how …

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