AMA October 12, 2022
When physician leaders at Hattiesburg Clinic began to examine the accountable care organization cost-and-quality data they got from the Centers for Medicare & Medicaid Services (CMS), they did so as a self-assessment exercise. But what they discovered transformed into a national focal point in debates over scope of practice and physician-led team-based care.
Hattiesburg Clinic, the largest private multispecialty clinic in South Mississippi, took the raw data it received from CMS and learned that nonphysician providers were driving up costs by ordering more tests and referring more patients to specialists. Their patients made more emergency department visits as well.
“We were very curious to find out internally where our costs were going for our Medicare ACO patients,” said Bryan Batson,...
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