Are Now Getting All the Attention
MANASQUAN, NJ --
June 21, 2010: A new special report, "Why
Physician Organizations Are Now Getting All the Attention," has been
produced by the Managed
Care Information Center.
There is much interest today in physician hospital
organizations (PHOs) and independent practice associations
(IPAs) with good reason.
Many of the physician organizations are growing
bigger through consolidation and are now given the respect they
deserve. With their size, the physician organizations can and are
becoming the driving force in helping their physician members adopt
electronic health or medical records.
Another factor is that incentive programs for EHR
are adoption growing.
Impact of the Federal Stimulus
And, the recent economic stimulus package funding
of approximately $19 billion in money dedicated to health IT catches
the attention. Also, there will be Medicare and Medicaid incentives
over five years to assist physicians in purchasing health IT systems.
Those billions are expected to enable such
physician organizations as PHOs and IPAs to help build out their member
physicians electronic health records.
"Availability of government stimulus money,
combined with hospitals being allowed to finance portions of
physicians' electronic medical record systems, could make EMR adoption
a veritable bargain," said one news report.
The Funding Available to
Physicians and Vendors Can Help
Doctors can get a maximum of $44,000 in funds from
the federal economic stimulus package for adopting a certified EMR
system that meets the government's "meaningful use" standards.
How much physicians get in stimulus funds will be
based on the percentage of their practice that is made up of Medicare
or Medicaid patients.
Momentum is building behind incentives for
physicians to adopt EHRs in their medical practices,
according to research by the Certification Commission for Healthcare
Information Technology (CCHIT).
In a recent search for programs that have sprung
up to subsidize physician adoption of health information technology
over the past two years, CCHIT said it found 90 initiatives in the
public and private sectors. The 90 programs in the CCHIT Incentive
Index catalog represent at least $700 million in potential funding for
EHR software and implementation costs.
CCHIT said The Bridges to Excellence offers
bonuses for use of CCHIT-certified EHRs, according to the CCHIT. Most
recently, Bridges to Excellence has chosen to deem use of a
CCHIT-certified EHR as sufficient qualification to demonstrate use of
electronic information at levels that put physicians in line for
monetary bonuses as a reward for superior management of patients with
In addition health plans like Blue Cross Blue
Shield of Massachusetts are requiring physicians who prescribe
medications to electronically prescribe to qualify for any of its
physician incentive programs effective Jan. 1, 2011.
The health plan said it is introducing this
initiative in an effort to continuously improve the quality,
affordability and efficiency of care for its members. The new
requirement applies to both primary care physicians and specialists.
Currently, 99 percent of primary care physicians in the HMO Blue
Network and 78 percent of specialists participate in BCBSMA incentive
How to Qualify for the Incentive
To be "qualified" for incentive payments, EHR
technology must have (a) the capability to include patient demographic
and clinical health information, and (b) the capacity to (i) support
order entry, (ii) provide decision support, (iii) capture and query
information relevant to health care quality, and (iv) exchange
electronic health information with and integrate electronic health
information from other sources, according to Stephanie B. Vasconcellos
and Amir Azaran of the Neal Gerber Eisenberg Health Law firm.
PHOs, IPAs, management service organizations (MSOs)
and physician practice management companies (PPMCs) have been closely
tracked and researched by the Managed
Care Information Center in connection with the production
of the National
Directory of Physician Organizations Database on CD-ROM.
The database also contains business information on
management services organizations and practice management companies.
The database on CD-ROM
includes PHOs, IPAs, HMO-model IPAs, MSOs
and PPMCs. IPAs or PHOs affiliated with or participating
hospitals and health systems are identified as such. We provide numbers
of primary care and specialist physicians in the organization
Care Information Center team researches and compiles the
National Directory of Physician Organizations Database on CD-Rom
profiles more than 2,200 physician organizations. Listings
include: PHOs, IPAs, HMO-model IPAs, MSOs
Every physician organization operates differently.
Directory of Physician Organizations Database on CD-Rom
details which organizations have responsibilities for contract
negotiations, utilization, marketing, credentialing, quality management
and claims because it varies from one organization to the next.
more information on The
National Directory of Physician Organizations Database on CD-Rom, visit:
Address: The Managed Care Information
Center, 1913 Atlantic Ave., Ste. 200, Manasquan, NJ 08736;
(732) 292-1100, www.themcic.com.