JUN 6, 2008

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CMS Proposes P4P I.T. Test

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The Centers for Medicare and Medicaid Services is seeking comments on a new proposed pay-for-performance program that rewards practices that use I.T. to help chronic disease patients.

The agency's Medicare Care Management Performance Demonstration would be a three-year project to evaluate the use of I.T. in four physician practices to help care for Medicare beneficiaries with congestive heart failure, coronary heart disease and diabetes. The demonstration would target practices with at least 50 Medicare beneficiaries with the conditions in Arkansas, California, Massachusetts and Utah. The goals would be to improve continuity of care, help stabilize the conditions, prevent or minimize acute exacerbations of chronic conditions and reduce adverse health outcomes.

Mathematica Policy Research Inc., Princeton, N.J., will conduct an analysis of the demonstration for CMS. It will use a comparison group of physician practices in states not targeted in the demonstration for such analysis, as well as a Medicare beneficiary survey, a physician survey, Medicare claims and eligibility data, and practice-specific data.

CMS published a notice of the proposed demonstration in the June 6 edition of the Federal Register. To submit a comment, send an e-mail to regulations.gov and follow the instructions for "comment or submission."

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Unlike some other major industries, health care incorporates geospatial data only sparingly. But that could change quickly with population health a priority.

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