Review Outlines Payment Reforms to Increase Collaboration Among Primary Care, Cardiology

A conceptual approach to payment reforms that would allow for more effective collaboration between cardiology and primary care physicians treating patients with chronic cardiovascular disease is the focus of a new JAMA: Cardiology review. The proposed set of payment reforms, the core of which could qualify as an advanced alternative payment model (APM) under the Medicare Access and CHIP Reauthorization Act (MACRA), clearly defines the roles of participating physicians under each model where they share responsibility for patient care. The authors specifically define two short-term payment models including a clinician-to-clinician consultation model and a multispecialty care coordination model. “To provide heart disease patients with the best possible care, it is essential that cardiologists and primary care clinicians work effectively together,” said Paul N. Casale, MD, MPH, ACC Board of Trustees member and a member of the U.S. Department of Health and Human Services Physician-Focused Payment Model Technical Advisory Committee. “This collaborative care framework and payment model offer an opportunity to link clinician roles and responsibilities to payment, thus improving value and the care experience for our patients.” Read more on Learn more about alternative payment models and other pieces of the QPP at