Primary Cares Initiative Tests Value-Based Pay—Will It Work for You?

By Krishnan Narasimhan M.D.
May 8, 2019

The road from fee-for-service payments to value-based care has been a bumpy one for the entire health system. Current models have not found the most effective way to pay and incentivize primary care.

At an April 22, 2019 event in Washington, DC, the US Department of Health and Human Services (HHS) and Centers for Medicare & Medicaid Services (CMS) announced new payment models that aim to transform primary care through value-based options. This Primary Cares Initiative 1 will also test financial risk and performance-based payments for primary care physicians. The voluntary initiative includes five new payment models under two paths—Primary Care First (PCF) and Direct Contracting (DC). These models will be rolled out in 20 states starting in 2020. Continue reading “Primary Cares Initiative Tests Value-Based Pay—Will It Work for You?”

The Physician Side of the Medicare-For-All Debate

By Krishnan Narasimhan M.D.
February 28, 2019

As the 2020 presidential campaign is getting into high gear with a host of candidates, health care continues to take center stage. Specifically, the Medicare-for-all proposals from Democratic candidates and members of Congress have become a key issue. These proposals could represent the biggest access change in health policy since the Affordable Care Act.

It pays for physicians to understand and be engaged in health policy as it will dictate their practice life, their patient’s health, and the future of health care. However, unraveling competing proposals is not always easy. Let’s take a deeper look. Continue reading “The Physician Side of the Medicare-For-All Debate”