CSMS-IPA: Working To Transform The Future Of Healthcare
"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  

Event Calendar
 
       
Event StartEvent EndTitleLocation
9/13/2010 6:30 PM New Haven, CT
10/4/2010 6:30 PM New Haven, CT
10/27/2010 Plantsville, CT

 

To see the entire CSMS-IPA 2010 meeting calender click here

Top Stories

CT Health Information Exchange

The Connecticut public is invited to provide feedback on the proposed plan for a Statewide Health Information Exchange. Click here to read more information 

HHS ANNOUNCES FINAL RULES SUPPORTING THE MEANINGFUL USE OF ELECTRONIC HEALTH RECORDS IN CT AND ACROSS THE NATION

(Hartford, CT) – U. S. Department of Health and Human Services (HHS) Secretary Kathleen Sebelius has announced final rules that set criteria for the "meaningful use” of electronic health records (EHR) by providers and hospitals. Click here to read more information

CSMS-IPA Signs Agreement With Connecticut Payers
 

In other areas of the country the medical home model has shown to be a highly effective way to improve quality and care coordination for the benefit of the patient. We look forward to doing that here."

         David D Thompson Jr, MD
                 President, CSMS-IPA

Wellcare of Connecticut

The CSMS-IPA Board of Directors approved an agreement with WellCare of Connecticut, Inc. in the fall of 2009 which included assisting in the enhancement of WellCare’s current Medicare Advantage network.

Please Click Here to read more information

 

ConnectiCare

 The CSMS-IPA and ConnectiCare are pleased to announce a new agreement for the coordination of health care services to ConnectiCare’s VIP Medicare Advantage plan members in New London County. The program will work through the CSMS-IPA Patient Centered Practice Model (PCPM) network of physicians in New London County.

Click here to read more information