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At the APG Colloquium 2020, Medical Group Leaders Parse the Value Landscape

机译:2020年APG讨论会,医疗集团的领导人解析景观价值

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On November 17, leaders of the medical group association America's Physician Groups (APG) discussed the future of the value movement in U.S. healthcare at the APG Colloquium 2020, which was held virtually this year. Don Crane, president and CEO of APG, led a discussion entitled "Value Movement: Smooth Sailing? Or Clouds on the Horizon?" He was joined by Niyum Gandhi, executive vice president and chief population health officer at the Mount Sinai Health System in New York City; David Joyner, CEO of the Hill Physicians Medical group, based in the San Francisco suburb of San Ramon; and Robert E. Matthews, president and CEO of MediSync, a Cincinnati-based consulting firm focused on medical group management. APG's Crane initiated the session by asking how panelists see the overall landscape for the value-based payment and care delivery movement. "I do see continued operation of capitated models, and getting away from fee-for-service medicine," Hill Physicians' Joyner said. "You see it in Medicare Advantage; also in global payments with professional facilities; and you also see it in MediCal [Medicaid in California]. On the other hand, putting a shared-savings program on top of a fee-for-service system is a little bit like putting broccoli on top of a hamburger," Joyner said, referring to the Medicare Shared Savings Program sponsored by the Centers for Medicare & Medicaid Services (CMS). "Outside of MA, we have a massive amount of fee-for-service reimbursement. So the marketplace is very mixed."
机译:11月17日医疗集团的领导人美国医师协会组(APG)讨论了未来的价值运动美国医疗2020 APG讨论会实际上今年举行。APG的总裁兼首席执行官,领导了一场讨论题为“价值运动:一帆风顺?云在地平线上?”甘地,执行副总裁兼首席人口健康官员西奈山在纽约市卫生系统;希尔医生的医疗集团,总部位于圣拉蒙的旧金山郊区;e·马修斯MediSync的总裁兼首席执行官总部位于辛辛那提的咨询公司医疗集团管理。会话要求小组成员如何看待总体景观价值和付款保健运动。定额模型的操作,让走从医学服务收费,”希尔医生的Joyner说。还与专业在全球支付设施;(在加州医疗补助)。把shared-savings程序之上服务收费系统是有点像把西兰花的汉堡包,”Joyner指的是医疗保险储蓄共享程序由医保中心&医疗补助服务(CMS)。大量的医疗费报销。

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