New News You Can Use James L Sublett MD President, Joint Council of Allergy, Asthma, & Immunology Clinical Professor & Chief, Allergy & Immunology University of Louisville School of Medicine Managing Partner, Family Allergy & Asthma Louisville, KY
The Mission of the JCAAI is to act on behalf of the specialty of allergy-immunology and the patients it serves; and to provide a unified voice in medical socio-economics which will enable patients to receive the highest quality allergy-immunology care.
Disclosure by Physicians When Referring for Advanced Imaging Services
Directed at physicians who perform in-office advanced imaging services (PET, CT and MRI)
Must inform the patient in writing at the time of a referral for these services that the patient may obtain the same service from other at least 10 other suppliers (if available) located within a 25-mile radius of the physician’s office
CMS is considering whether the list may include hospitals or other institutional providers of the service or whether it must be limited to free-standing “suppliers.”
Disclosure be documented by obtaining a signed copy of to keep in the patient’s file.
6 months preceding versus following IT among children (<18 years) newly diagnosed with allergic rhinitis.
6-month total cost savings of $401
offset the average total cost of immunotherapy ($424 per patient).
Hankin C, Cox L, et al. Ann Allergy Asthma Immunol. 2010;104:79–85)
10 years (1997-2007) of Florida Medical data
compared health services use and costs between children newly diagnosed with AR who received IT to matched controls with AR who did not receive IT.
Children who received IT had significantly lower 18-month total health care costs ($3,247 vs $4,872), outpatient costs exclusive of immunotherapy-related care ($1,107 vs $2,626), and pharmacy costs ($1,108 vs $1,316) than matched controls
Savings were evident as early as 3 months following IT initiation, and increased throughout the study period.
JCAAI/ACAAI/AAAAI boards approved funding for adult data to be reviewed and published.
“ Partnerships with key players…and reimbursement aligned to reward practices… with physician support and measurement of results” – AHP-Hi Wire
“ the specialist-dominated US health care system produces care of mediocre quality, with excessive use of costly services that have little marginal benefit. Within this context the PCMH has become the shorthand for rebuilding US primary care capacity.” – Landon et al Health Affairs 2010
Personal Physician (PP) – each patient has ongoing relationship with personal physician
Physician directed medical practice – leads team all of whom collectively take responsibility for ongoing care of patients
Whole person orientation – PP responsible for providing for all the patient’s healthcare needs or takes responsibility for appropriately arranging care with other qualified professionals – at all stages of life
Joint Principles of PCMH – AAFP ,AAP ,ACP, AOA 2007