"Although nobody can accurately predict the future of health care in the United States, one thing is clear; it will not be the status quo. It is likely that there will be reporting demands which can only be fulfilled by the adoption of Health Information Technology (HIT). Primary Care practices will be pressured to transform to Patient Centered Medical Homes (PCMH), or, as the IPA prefers, Patient Centered Practice Models (PCPM). There is good reason to believe that the PCPM physicians will have a distinct advantage as Health Care Reform evolves. The CSMS-IPA is committed to bringing those advantages forward and to assisting practices in moving toward a PCPM over time."
Ken Sacks, MD
Medical Director, CSMS-IPA
CSMS-IPA’s Patient Centered Practice Model (PCPM) Initiative
The CSMS-IPA Patient Centered Practice Model (PCPM) network is currently comprised of 479 Connecticut physicians (both primary care and specialists) throughout the state. The PCPM is the CSMS-IPA model for addressing the changing healthcare environment with a "Medical Home" management approach to care. This opportunity is available for all CSMS-IPA physician members. PCP and Specialist Physicians participating within the PCPM network and CSMS-IPA payer agreements may be eligible for additional funding through care management fees (for PCP’s) as well as contract bonus opportunities.
If you would like to participate in this exciting opportunity, you can obtain opt-in documents as well the PCPM Manual by clicking the links below
Physician Practice Group Opt-In PCPM Manual
For more information, contact CSMS-IPA at (203) 225-1291 or email us at info@csms-ipa.com. Completed forms can be faxed to the CSMS-IPA at (203) 225-1295. The CSMS-IPA is committed to expanding the PCPM network throughout the state while developing payer contracts that partner with the dedicated physicians involved in the PCPM practices
CSMS-IPA and the American College of Physicians (ACP) Partner to Assist Primary Care Physicians To Build Capacity to become Patient Centered Practice Models Patient Centered Medical Home
If you are a Primary Care Physician who has Opted in to the CSMS-IPA PCPM Program you can quickly assess your practice in 7 key area and identify specific tools and resources based upon your needs as you prepare for recognition as a Medical Home.
Click Here to find out more about the ACP Medical Home Builder
2010 Physician Quality Reporting Initiative (PQRI)
CSMS-IPA Again Partners with DocSite® to Help You Earn Your 2% Medicare Incentive For more information, click here
The Center for Medicare and Medicaid Services (CMS) Issues Final 2011 Marketing Guidelines
As part of CMS’ implementation of the Medicare Improvements for Patients and Providers Act (MIPPA) of 2008, CMS has revised the Medicare Advantage Marketing guidelines. CMS has outlined and made clarifications on specific rules for provider-based activities. These revisions were made available on June 4, 2010. Click here to read the memo from CMS.
Medicare Advantage plans are allowed to market their products beginning October 1, 2010 and the Annual Election Period (AEP) for actual enrollments begins November 15, 2010 and goes through December 31, 2010. This year, the Open Enrollment Period (OEP), which normally occurs between January 1st and March 31st and allows Medicare Advantage members to switch to “like plans”, has been discontinued.
Patients may be referred to http://www.medicare.gov/ or 1-800-MEDICARE for plan benefits and additional information. For additional information on talking points and written materials for posters and letters to patients, please e-mail Edna Wells, CSMS-IPA Director of Operations, at ewells@csms-ipa.com