decisionhealth Newsletters, Part B News - 2007 Issue 7 (July)
EHR, case management make PGP demo successful
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Article Overview
This piece covers early Medicare Physician Group Practice Demonstration results, including how participating large group practices used health information technology, care coordination, follow-up processes, and quality management to improve performance. It is relevant to practice administrators, physician leaders, care management teams, and coding/billing professionals who track Medicare demonstration activity, quality initiatives, and health IT investment trends.
Why This Topic Matters
The article shows how coordinated care and practice-level infrastructure investments were associated with improved quality performance in a Medicare demonstration. It also highlights that financial return, operational effort, and program support do not always align, which matters for organizations evaluating similar initiatives.
Article Sections
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Demonstration Results and Medicare Reporting
Summarizes the first-year Medicare demonstration findings and the overall performance of participating group practices. It also notes the organizations involved and the general financial outcomes reported by CMS.
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Care Improvement Strategies Used by Participating Groups
Describes the broad operational approaches the practices used to improve quality and coordination of care. The section focuses on follow-up, registry use, and related practice workflows.
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Health IT, Case Management, and Practice Investment
Explains the types of infrastructure and staffing investments practices made to support the demonstration. It also discusses the general relationship between those investments and program results.
What You Will Learn
- How large physician groups performed in an early Medicare quality demonstration
- What broad operational strategies were used to support better care coordination
- Why health IT and staffing investments were important to participating practices
- How Medicare demonstration participation can relate to quality targets and financial outcomes
Who Should Read This
- Physician group administrators
- Practice managers
- Revenue cycle and billing professionals
- Care management teams
- Health information technology leaders
- Coding and reimbursement analysts
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