Lancaster Physician Fall 2017 - 20

Patient Advocacy

Care Beyon d Tre atme n t

vitally interested in having physicians be a positive force for good
and avoiding what many consider as the worst possible outcome
of all: a single payer system;

A cancer diagnosis is a life
changing event. Winning
the battle requires
highly-personalized care
delivered by experts who
treat all types of cancer
with a compassionate,
collaborative approach.
H. Peter DeGreen II, MD Emeritus,
We believe in caring for
Lena Dumasia, MD, and
H. Peter (Tracy) DeGreen III, DO
the whole patient. Our
integrated care is
patient-centered and takes all your needs into consideration.

Health insurers are more willing to engage in transformative
reimbursement models that not only compensate physicians
for the increased work associated with high-value care, but in
risk-transfer arrangements that profitably put the providers' "skin
in the game." They understand that not all insurance risk can
be managed by physicians, but are willing to talk about limited
risk-sharing arrangements that are win-win;

At Lancaster Cancer Center, we're with you every step of the way.

Integrated delivery organizations are reaching the limits of hiring
physicians and are increasingly turning to affiliated arrangements
with independently practicing physicians in their service area.
They are vitally interested in having a sustainable "neighborhood"
of economically sustainable practices that can serve their patient
population and welcome the support of the Collaborative;

Proud to be the longest-running independent, community-based
oncology/hematology practice in Lancaster County.
To schedule a consultation or second opinion, call

717-291-1313.

Provider organizations made up of independent physicians are
not only surprisingly common in the Pennsylvania marketplace,
but they are growing in size and sophistication. This is leading to
an increasing appetite to develop "clinically integrated networks"
(CINs) that can work with health insurers to develop their own
specialized payment contracts that grow value and de-emphasize
volume-driven payments. As an aside, because CINs may have
greater control over the health care premium, health insurer
payment denials over irritants such as the "Modifier 25" can be
eliminated. What's more, CINs may assume responsibility for
credentialing on a delegated basis, which could also eliminate
the requirement of "maintenance of certification."

Greenfield Corporate Center * 1858 Charter Lane, Suite 202
(717) 291-1313 * www.lancastercancercenter.com

WHAT DOES THIS MEAN FOR PHYSICIANS?
As the rapid pace of health care accelerates, physician leadership is more important than ever. The Collaborative estimates
that there are more than 10,000 independently practicing
physicians in the Commonwealth. Their continued commitment to offering an important care option to Pennsylvania's
patients is key to the success of integrated delivery systems
and provides an area of opportunity for health insurers. As a
result, we are "bullish" on independent physicians and look
forward to partnering with them in any way we can. We
would be happy to talk further with you. You can reach me
at jsidorov@patientccc.com or through the Care Centered
Collaborative website at www.patientccc.com.

LANCASTER

PHYSICIAN

http://www.lancastercancercenter.com http://www.patientccc.com

Table of Contents for the Digital Edition of Lancaster Physician Fall 2017