Doug Farrago

To Join or Not to Join an ACO

    In a recent business article from the American Medical News they do a a pretty good job explaining the the dilemma doctors have on whether to join an Accountable Care Association.   The goal of an ACO is to “allow fee-for-service payments with a bonus for lowering projected total costs while maintaining or…

Medicare Disease Management Program Fails!

    According to a NEJM study, commercially-run disease management programs within Medicare neither improved the quality of care nor produced any cost savings in a randomized study.  There was only significant improvements in only 14 of 40 pilot groups.  Reductions in patient care expenditures did not come near the $400 million in fees Medicare paid…

The Elusive Medical Home

The supposed savior of family medicine is the “medical home”.  Hold on, I can’t stop laughing. Okay, the medical…….wait, still laughing…..is a method to rename what we already do so a lucky few of us can get paid the same.  Alright, there is another definition somewhere but it is truly irrelevant.  Here is some news…