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End-of-Life Choices

Trends in end-of-life care show that not only does the care given vary widely from region to region and hospital to hospital, but also patients often don't get the care they prefer. What can be done?

Care Management Puzzle

Chronic diseases and the cost of care are rising. Are disease management programs improving outcomes for patients with complex, chronic conditions?

No Middleman

Under the "direct primary care" model, patients pay a monthly fee for basic medical services. Learn about the history and current landscape of physician practices offering this arrangement.

Doctors and Nurses

Friday, September 28, 2012

Association Releases List of Top-Performing Physician Groups

The Integrated Healthcare Association has released a list of the top-performing and most-improved physician groups in California as part of a pay-for-performance initiative, Payers & Providers reports.

IHA included a total of 47 medical groups on the list, or about 25% of groups that participate in the initiative.

Under the pay-for-performance initiative, physician groups are eligible for incentive payments from seven participating health insurers. According to IHA, incentive payments this year are expected to reach about $40 million.

About the List

IHA selected the physician groups based on criteria for meaningful use of health information technology and patients' overall care experience.

It also assessed clinical quality measures for various topics, including:

  • Cardiovascular;
  • Diabetes;
  • Musculoskeletal;
  • Preventive; and
  • Respiratory health.

Top Performers

The list includes several physician groups that have been cited as top performers by IHA in previous years, such as:

  • Brown & Toland Physicians;
  • Cedars-Sinai Medical Group;
  • Palo Alto Medical Foundation;
  • Sharp Rees-Stealy Medical Group; and
  • Sutter Medical Group.

Groups cited by IHA this year that are new to the list include:

  • MemorialCare Medical Group;
  • Monarch Healthcare; and
  • Primary Care Associates Medical Group (Payers & Providers, 9/27).

Most-Improved Performers

IHA selected eight groups as the most-improved physician groups:

  • Arch Health Partners;
  • Cedars-Sinai Health Associates;
  • Central Valley Medical Group;
  • Children’s Physicians Medical Group;
  • Southern California Permanente Medical Group;
  • St. Joseph Heritage Medical Group;
  • The Permanente Medical Group; and
  • Woodland Healthcare (IHA release, 9/20).



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