Peter Pavarini

Photo of Peter Pavarini

Latest Articles

Beginning in January 2017, primary care physicians and their practices (PCPs)  will be able to participate in a multi-payer payment reform and care delivery transformation aimed at strengthening primary care. Dubbed the Comprehensive Primary Care Plus (CPC+) initiative, the recently unveiled primary care medical home model is CMS’s latest effort to encourage value-based payment methodology, with an aim towards promoting health and reducing overall health care costs. In an effort to encourage PCP participation in…
Today, CMS submitted to the Federal Register (for publication on April 27th) its annual notice of proposed IPPS rates and policy changes for federal fiscal year (“FY”) 2017.  Today’s notice contains a proposal to eliminate permanently the .2% payment reduction that CMS had implemented in FY 2014 to offset a projected net increase in IPPS cases occasioned by CMS’s “Two Midnight” rule. Today’s proposed action is in response to the remand order issued by the…
For many of us still digesting last week’s ACO manifesto, the first question we must answer is what kind of organization should seek to qualify as an ACO? “In order to implement the statutory requirements that ACOs have a shared governance mechanism and a formal legal structure for receiving and distributing shared payments, we (CMS) believe that it is necessary for each ACO to be constituted as a legal entity appropriately recognized and authorized to…
The proposed CMS rules for accountable care organizations have only been out a few hours and even the speediest readers are still plowing through them, but a few initial observations are in order: CMS is admitting it needs more than the usual amount of public comment to craft final rules. Perhaps this was intentional but little of what I’ve read so far adds much definition to what PPACA already said about ACOs. CMS is asking…
With the issuance of proposed rules for accountable care organizations (ACOs) just days away (CMS Deputy Director Marilyn Tavenner has been quoted as saying they’ll be out by April 1, 2011), many in the healthcare industry are beginning to wonder how ACOs will pay for themselves.   Drs. Trent Haywood and Keith Kosel have predicted that most organizations participating in ACOs will lose money during the first three years.  As far as anyone knows, there is…
Sam Cooke may not have known much about history, but 1,251 randomly selected U.S. adults apparently don’t know much about the Patient Protection and Accountable Care Act of 2010 (PPACA).  According to a survey conducted by Stanford University and funded by the Robert Wood Johnson Foundation, most Americans don’t understand what’s in PPACA or how the new law will eventually affect them and their families.  Both supporters and detractors appear to be equally clueless. What most Americans seem…
Just as the first round of PPACA provisions become effective on September 23, 2010 (e.g., elimination of lifetime caps on health benefits, requiring health plans to permit adult children to remain on their parents’ plans until age 26), HHS Secretary Kathleen Sebelius and Treasury Secretary Tim Geithner have asked Congress to “scale back” the 1099 tax reporting obligation in the new law. That change, if included in amendments to the small business bill now being…