Richard G. Stefanacci, DO, MGH, MBA, AGSF, CMD

Column

Reimbursement Politics

09/05/2008

Barney S. Spivack , MD, FACP, AGSF, CMD;

Richard G. Stefanacci , DO, MGH, MBA, AGSF, CMD;

Unlike the rest of the U.S. economy, reimbursement for healthcare is not a simple matter of supply and demand.

Unlike the rest of the U.S....

09/05/2008

Annals of Long-Term Care

Clinical Pathways GPS

Clinical Pathways Guiding Where and When

09/19/2017

Richard G. Stefanacci , DO, MGH, MBA, AGSF, CMD;

Clinical pathways most often guide treatment decisions based on a diagnosis, but what about assistance for directing where and when care is most effectively rendered? Improving clinical and financial outcomes...

...

09/19/2017

Journal of Clinical Pathways

Clinical Pathways GPS

Beyond Medication Class: How Specific Should the Clinical Pathway Get?

06/20/2016

Richard G. Stefanacci , DO, MGH, MBA, AGSF, CMD;

Taha Khan , PharmD, RPh;

Aspects of a medication beyond the chemical composition can have an impact on patient outcomes. Consideration of these aspects when developing clinical pathways may result in particular formulations or delivery...

...

06/20/2016

Journal of Clinical Pathways

LTC GPS

Taking Aim at Number Four in the Quadruple Aim—Our Team

08/13/2018

Richard G. Stefanacci , DO, MGH, MBA, AGSF, CMD;

This recognition of employees’ importance is what resulted in a proposed fourth dimension to be added to the Triple Aim (enhancing patient experience, improving population health, and reducing costs), as it was felt that achieving the Triple...

This recognition of employees’...

08/13/2018

Annals of Long-Term Care

Oncolytic Biosimilars: An Opportunity to Reduce Oncology Treatment Costs

Clinical Pathways GPS

04/21/2020

Craig Ornstein , PhD, MA;

Jamey Hardesty , MPH;

Richard G. Stefanacci , DO, MGH, MBA, AGSF, CMD;

Matthew Pakizegee , PharmD, MS;

Uttama Rath , PhD, MS;

Inclusion of oncology biosimilars in clinical pathways is one approach to reducing costs in this therapeutic area without compromising outcomes for cancer patients. There are currently eight Food and Drug...

...

04/21/2020

Journal of Clinical Pathways

Column

What Is Medicare Going to Do to Survive?

11/26/2008

Richard G. Stefanacci , DO, MGH, MBA, AGSF, CMD;

Barney S. Spivack , MD, FACP, AGSF, CMD;

When Medicare was created, the average lifespan for those 65 years of age was four years.

When Medicare was created, the...

11/26/2008

Annals of Long-Term Care

Clinical Pathways GPS

Value-Based Clinical Pathways in the World of Reference-Priced Medicare Part B Drugs

12/13/2018

Matthew Pakizegee , PharmD, MS;

Richard G. Stefanacci , DO, MGH, MBA, AGSF, CMD;

The Centers for Medicare & Medicaid Services (CMS) released an advanced notice of proposed rulemaking on October 25, 2018, seeking to test  whether using a combination of 3 approaches—an international drug...

The...

12/13/2018

Journal of Clinical Pathways

Viewpoint

Post-Election Pathways Will Focus on Patients` Definition of Value

02/13/2017

Richard G. Stefanacci , DO, MGH, MBA, AGSF, CMD;

Scott Guerin , PhD;

As the Republican party gains control over federal health care policy, it seems likely that patients will have much more involvement in their health care in terms of decision-making capacity and out-of-pocket...

As the...

02/13/2017

Journal of Clinical Pathways

LTC GPS

SNF Success Under the New Hospital Readmission Payments

01/28/2019

Richard G. Stefanacci , DO, MGH, MBA, AGSF, CMD;

As promised, the federal government has moved to value-based reimbursement for skilled nursing facilities (SNFs) through financial adjustments based on hospital readmission rates that occur within 30 days of their discharge.

As promised, the federal...

01/28/2019

Annals of Long-Term Care

Care Coordination Today: What, Why, Who, Where, and How?

03/15/2013

Richard G. Stefanacci , DO, MGH, MBA, AGSF, CMD;

Barney S. Spivack , MD, FACP, AGSF, CMD;

The complexities of providing geriatric care require balancing an increasing number of clinical, logistical, financial, and regulatory variables.

The complexities of...

03/15/2013

Annals of Long-Term Care