David Pittman

Health policy wonk passionate about improving our messed up health system. Former @POLITICO journalist. Part-time MPH student @JohnsHopkinsSPH. @UGAgrady alum.

[David Pittman @David_Pittman]

After 10 years of experimenting, we have a far better idea of what alternative payment models work and don't. Those that make providers responsible for all of patients' spending for a year, like ACOs, do far better. Let's not generalize all APMs.

https://t.co/JO9ug6YHIT

[micky tripathi @mickytripathi1]

Fascinating that this was first discovered by @NAACOSnews. Says alot about what happens when economic incentives drive focus on cost and quality.

Seems like we ought to add $2B into the savings column for ACOs. 😃

@NAACOSnews

https://t.co/zLaR1Dq4h1

[Dan Diamond @ddiamond]

Scoop: federal officials are investigating a potential $2 billion Medicare fraud scheme, involving misused data from hundreds of thousands of patients.

Alleged fraud centers on mysterious spike in urinary catheter bills.

With @LaurenWeberHP @dtkeating.

https://t.co/Lf7NJzRfKy

[David Pittman @David_Pittman]

@ClarePWrobel My 90 y/o grandmother has Alzheimer's. Yes, it's devesting to families to have it unfold.

[Alliance for Value-Based Patient Care @VBCareAlliance]

Congress must pass the ‘Value in Health Care Act’ so #Medicare can better support patients, physicians, and other clinicians by prioritizing high-quality and coordinated care. Read the full statement from Alliance spokesperson @ssaha001 of @PremierHA: https://t.co/G1a8zRoWae

[The National Association of ACOS @NAACOSnews]

Join us next week for everything your ACO needs to know on the proposed 2024 #Medicare Physician Fee Schedule rule! Thurs. July 27, 3-4:15pm ET
Register here: https://t.co/o0qcHTJaIe
#valuebasedcare #healthpolicy #webinar

[David Pittman @David_Pittman]

Disappointed this wasn't the winner, but I'll take runner up!

[Health Affairs @Health_Affairs]

“You're A Health Policy Wonk If...you create a PowerPoint titled "ACOs: Totally a thing!" for a second date - and still get a third!" From Runner Up Brett W. Read more entries! https://t.co/hb2bgtZo7g

[Kevin B. O'Reilly @kboreilly]

My latest @AmerMedicalAssn: "Extending Medicare APM incentives is key to value-based care’s future." https://t.co/1CyvcjpBss

[David Pittman @David_Pittman]

“MACRA was a step in the right direction, but more needs to be done to drive long-term system transformation.” — @NAACOSnews

https://t.co/FE1Shgrqr7

[David Pittman @David_Pittman]

“Several members of the House E&C Committee have told Robert the hearing will be the first step toward reform. Burgess added that he hopes for legislation in the second half of the year.”

[Robert King @rking_19]

@HouseCommerce subcommittee kicks off the first MACRA hearing in several years. Rep. Burgess talked to me today in Pulse about what he wants the hearing to address: https://t.co/VlQSmgE4P5

[David Pittman @David_Pittman]

👀

[Energy & Commerce Democrats @EnergyCommerce]

WATCH LIVE: Oversight and Investigations Subcommittee hearing on the Medicare Access and CHIP Reauthorization Act (MACRA) 🔽

[David Pittman @David_Pittman]

Also, I've been telling reporters I work with all year long that Congress is going to tackle this issue...they just need to get past the debt ceiling first. Now...voila.

[David Pittman @David_Pittman]

YES! The way Medicare pays doctors in this country needs an overhaul, but it needs to come from Congress. Encouraging the movement to value-based care will be part of this conversation. Stay tuned....

https://t.co/W96qrs89rX

[David Pittman @David_Pittman]

"To better support ACO-based primary care practices, the Innovation Center is exploring ACO-based primary care model tests that may focus on practices in the Shared Savings Program."

https://t.co/EaeCKysAVD

[David Pittman @David_Pittman]

More on the importance of aligning primary care payment models and total cost of care models like ACOs.

[Travis Broome @Travis_Broome]

The Sweet Spot of Value-Based Care: Integrating Primary Care Models and ACOs https://t.co/tsG62QeQRP Opportunities in front of us to build on the successes behind us.

[David Pittman @David_Pittman]

Read @NAACOSnews statement on new @CMSinnovates primary care model. Not allowing dual participation with ACOs undermines movement to total cost of care models. A better option is to allow ACOs to implement population-based payments for primary care.

https://t.co/WtGdjTkebg

[David Pittman @David_Pittman]

.@rshawnm tells @SenFinance barriers exist for practices to move to value-based care, and Congress should work to remove these barriers.

Agreed. Policy should incentivize doctors and hospitals to provide higher quality, lower cost care.

[Primary Care for America @PC4America]

Tomorrow, PCFA partner @AAFP’s @rshawnm will testify on the sustainability of value-based payment models and the need to reform our undervalued #PrimaryCare system before the U.S. Senate Committee on Finance. Tune into the hearing at 10AM ET: https://t.co/Fnlin8uHm7

[David Pittman @David_Pittman]

As @CMSGov works to increase accountable care arrangements, @NAACOSnews has heard more and more calls a full-risk option for ACOs. There isn't one in the Shared Savings Program. Smart story by @rking_19. @POLITICOPro @drmeenasesh

https://t.co/chsNaVpUwU

[The National Association of ACOS @NAACOSnews]

NAACOS submitted a statement for the House W&M #healthcare Subcommittee on the recent hearing "Examining Policies that Inhibit Innovation and Patient Access" with key recommendations to drive #innovation in health care. Read the statement:
https://t.co/nEcRCvXqAF

[David Pittman @David_Pittman]

From @ASlavitt at #DukeMargolisPolicyConf: Even if everyone was in FFS, you'd still need value-based care. Even if 80% of Medicare were MA, plans could truly compete on value.

So if it's 100% FFS or mostly MA, you still need accountable care. @DukeMargolis

[David Pittman @David_Pittman]

It's not being mentioned here or in other news stories, but there are some important ACO-specific policies ending today. CMS will no longer remove COVID-related inpatient claims from spending and will only protect ACOs from 5/12 of shared losses.

https://t.co/5f7KZxsW1O