MMS Statement on the Release of Senate Payment Reform Legislation

By Lynda M. Young, MD MMS President With the release of the Senate bill today, we now have two detailed legislative approaches to payment reform, along with the Governor’s legislation from last year. We recognize the need to bend the cost curve in Massachusetts, and we will continue to work with the House, the Senate [...]

House Releases Payment Reform Legislation

The Massachusetts House Friday released a comprehensive payment reform bill that seeks the cut $160 billion in health care spending in Massachusetts over the next 15 years. House Speaker Robert DeLeo characterized the bill as an effort to balance the need to cut health care costs for employers and families with a desire to keep [...]

Does Payment Reform Save Money? Comments on the Attorney General’s Report

By Lynda Young, MD, MMS President Attorney General Coakley’s new study this week on health care costs and payment reform has been generating a lot of discussion. Here are some thoughts from our corner. We think it’s too early to declare payment reform a failure from a cost-cutting perspective. You can’t measure its effectiveness after [...]

Risk Adjustment and Payment Reform: A New Webinar

Every study of accountable care organizations recognizes that proper risk adjustment tools are critical to their success. Without adjustments for case-mix severity and other issues, providers’ cost and quality measures can be simply wrong. For example, hospitals and physicians who treat a high number of seriously or chronically ill patients would unfairly have inappropriate funding, [...]

Despite Travails, Internist’s Practice Stays Open to New Patients

Richard Dupee, M.D., a Wellesley-based internist and geriatrician whose practice has about 10,000 patients, is among a dwindling segment of primary care physicians accepting new patients. “It’s a matter of business survival,” explained Dr. Dupee, whose practice accepts several new patients every week, including MassHealth enrollees. “I need to keep [patient] volume up to stay [...]

MMS Calls for Changes in Medicare ACO Regulations

Today, the MMS submitted 20 pages of comments on the federal government’s proposed regulations for Medicare accountable care organizations (ACOs). Our comments were based on the principles for health care reform approved by our House of Delegates last month. Our comments include: Physician leadership, from both primary care and specialty care physicians, for the implementation [...]

Health Reform Principles Stress Balance Between Patient Choice and Economic Reality

Spirited debate at the MMS House of Delegates Saturday led to the adoption of 18 principles on health care reform that the Society plans to share with local and national legislators. The principle that dominated deliberations asserted that “health care reform must enable patient choice in access to physicians, hospitals, and other services while recognizing [...]

Governor, House Majority Leader Not Exactly on Same Page at Doctors’ Day

In addressing more than 200 Massachusetts physicians gathered this morning for Doctors’ Day at the State House, Gov. Deval Patrick reiterated his sense of urgency about controlling unsustainable health care costs. “The complexity of this has to stop defeating us,” the governor said. “We have to stop looking for blame and start finding solutions.” At [...]

Payment Reform: Issues to Consider

MMS President Alice Coombs appeared this week on WGBH’s news program, “Greater Boston,” to talk about payment reform in Massachusetts. In her interview with Emily Rooney, Dr. Coombs said she’s concerned about the ability of small practices to make the necessary investments in technology and workflow to succeed in a global payment system. She also [...]

AMA Releases Comprehensive Physicians’ How-To Guide on ACOs

The American Medical Association has released one of the most comprehensive resources produced so far to help physicians evaluate their options for practice integration, accountable care organizations, and other issues, following the passage of federal health reform last year. The resource may also be helpful to Massachusetts physicians who are thinking about what statewide payment [...]