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  • Texas Medical Board takes a firm stand that may become a great model for other states

    Monday, April 27, 2015

    As I’ve commented before, the Texas Medical Board has been taking on the Dallas-based firm Teladoc (the nation’s largest provider of contracted doctors who provide medical care via telephone) over the provision of services that do not meet the standard of care as espoused by the board.  The outcome of this disagreement may become a model for boards everywhere.

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  • CMS Investment Model ACO Clearly Aimed at Rural Providers

    Sunday, March 29, 2015

    Last year CMS introduced several new models of ACOs designed to attract new participant organizations and push toward CMS's stated goal of having 50% of its payments connected to value-based plans of one type or another.  While the aptly named "Next Gen" model ACO is targeted at larger organizations that are ready to take on more risk in managing their Medicare beneficiaries, another type of ACO, the Investment Model ACO, is clearly aimed to entice smaller and more rural provider organizations into the ACO fold.  Some of the evidence that underscores this is as follows.

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