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Independent Health Offers Physician-Payment Model for Medicare

By Nora McGuire, Senior Vice President & Chief Marketing Officer, Independent Health


June 5 was an exciting day for the Western New York community and Independent Health as the Independent Health Chief Medical Officer Thomas J. Foels, M.D. testified before the U.S. House of Representatives Subcommittee on Health during a hearing on reforming the Medicare sustainable growth rate (SGR). Dr. Foels shared Independent Health's pioneering efforts in primary care redesign and implementation of alternative payment systems to help achieve the triple aim of improved quality, patient satisfaction and cost.


In his testimony, Dr. Foels conveyed Independent Health's belief that there are valuable components of their quality, efficiency and effectiveness programs that are potentially scalable and transferrable to other communities beyond our own.


For over a decade, Independent Health has been working with providers to help address challenges within the health care industry and moving from a reimbursement system that rewards the quality of care instead of the quantity of services provided. 


Through Independent Health's work with The Primary Connection and Catholic Health and Catholic Medical Partners they are developing virtually integrated models that drive population management on an aggregate level through care coordination and stronger collaboration among primary care physicians, specialists and other providers encompassing the entire health care system. These efforts are gaining national attention and were the focus of Dr. Foels' testimony at the Capitol. 


Independent Health is applying the principles of these efforts in their new tailored-network products, Prime Access and Choice Plus, which draw on the strengths of high-performing primary care teams, collaboration with hospitals and specialists, and engaging members in their own health care.  When all these pieces come together, higher quality and lower costs follow.


For more information on Independent Health's payment reform model and testimony to the House of Representative's health subcommittee, please refer to The Buffalo News article or Independent Health's news release. 

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