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

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MEDICARE PART D UPDATE: Freedom of Speech

09/05/2008

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

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

Providers have an obligation to seek out the best care for their patients—that is the ultimate bottom line.

Providers have an obligation to...

09/05/2008

Annals of Long-Term Care

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Working Together to Assure the “Right” Medication for the “Right” Patient

09/05/2008

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

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

As a result of Medicare’s rise to the position of major payor for medications, Medicare believes that it needs to be very involved in medication management.

As a result of Medicare’s rise...

09/05/2008

Annals of Long-Term Care

Pharmacy Insight

Benefits Clear but Questions Remain

04/22/2013

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

The Group Practice Without Walls is an interesting concept, and one that logically flows from the recognition that instead of pay for service, the focus has been shifting to paying for quality and value.

The Group Practice Without Walls...

04/22/2013

First Report Managed Care

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Why Doesn’t CMS Understand the LTC Difference?

09/05/2008

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

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

As is often the case, the needs of long-term care (LTC) residents were not considered in the drafting of Medicare Part D legislation.

As is often the case, the needs...

09/05/2008

Annals of Long-Term Care

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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

Long-Term Care Regulatory and Practice Changes: Impact on Care, Quality, and Access

11/07/2014

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

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

Richard Stefanacci reviews changes in bundled payment, ACOs, managed Medicaid, pay-for-performance requirements, and medication management.

Richard Stefanacci reviews...

11/07/2014

Annals of Long-Term Care

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Preventing Medication Errors

09/05/2008

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

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

Institute of Medicine (IOM), in its most recent report, evaluated medication errors in a broad range of settings, and finding tremendous room for improvement.

Institute of Medicine (IOM), in...

09/05/2008

Annals of Long-Term Care

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Urgent Care in the Nursing Home: Aligning the Incentives

02/17/2011

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

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

Perhaps nowhere are incentives more misaligned than they are when it comes to providing urgent care to a nursing home resident. Picture the following typical scenario: Mrs. M, an elderly nursing home resident, is found to be having a...

Perhaps nowhere are incentives...

02/17/2011

Annals of Long-Term Care

Weighing in on Changes Affecting Medicare Advantage

02/19/2014

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

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

The CMS proposed making changes to the Medicare Advantage plans and the prescription drug benefit program.

The CMS proposed making changes...

02/19/2014

Annals of Long-Term Care

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