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2013 Management Blog

Health Care Price Transparency

Added on: 10.02.13, by G. Alan Kurose, MD, MBA, FACP

I am writing to provide public comment to OHIC regarding Health Insurance Bulletin 2013-1, entitled “Health Care Price Transparency”.    I offer comment from the perspective of 20 years of primary care practice experience, and my current role as CEO of Coastal Medical.

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Innovative Model of Care Delivery: ACO

Added on: 09.30.13, by Meryl Moss, MPA, EMHL

Coastal is an ACO and like the other organizations highlighted in the Commonwealth Fund series, has had a history of moving toward a patient centric model. Our Medicare ACO started in July of 2012 and Coastal’s United ACO arrangement began in April of 2013.  We have a longer history of doing business in an alternative payment model with Blue Cross/Blue Shield of Rhode Island. In 2009 Blue Cross provided infrastructure for PCMH development and payment for NCQA III recognition. In 2011 we received capitated payments for specific enhancements to care and in 2012 entered into a shared savings agreement.

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