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How Trump's Administration Will Impact the Affordable Care Act

How Trump's Administration Will Impact the Affordable Care Act

The ACA is likely to be partially or fully repealed, though it is uncertain how physician practices and the benefits of the 20 million newly-insured will be affected.

Providers Fined for Faulty Business Associate Agreements

Providers Fined for Faulty Business Associate Agreements

HHS fined providers for not having or using an outdated business associate agreement.

Excess Fees by Physicians Causing Financial Burden for Patients

Excess Fees by Physicians Causing Financial Burden for Patients

These fees affect uninsured Americans and privately insured patients who use out-of-network physicians.

Satisfaction Influenced by Patient Perception of Provider Concerns

Satisfaction Influenced by Patient Perception of Provider Concerns

Findings were from private practice pain management clinics for opioid patients.

Providing Price Information Has Varying Effects for Type of Clinician

Providing Price Information Has Varying Effects for Type of Clinician

There was no difference in the rate at which orders were placed across study arms for pediatric-focused clinicians.

High Health Care Deductibles Burden Many Families

High Health Care Deductibles Burden Many Families

Studies suggest that significant out-of-pocket costs may harm low-income and chronically ill patients.

Higher Drug Prices Driven by Excessive FDA Regulations

Higher Drug Prices Driven by Excessive FDA Regulations

First-in-class drugs are fast-tracked, while follow-on drugs can take up to 15 years to be approved.

Higher Tobacco Control May Save Lives and Generate More Income

Higher Tobacco Control May Save Lives and Generate More Income

Higher prices and taxes would deter smoking and generate income, WHO and others say.

Breast Cancer Screenings Increase Since ACA Initiation

Breast Cancer Screenings Increase Since ACA Initiation

Waiving costs appears to improve mammography rates, but not colonoscopy -- even among the poor.

Senate Begins Fight to Appeal the ACA

Senate Begins Fight to Appeal the ACA

"We don't yet know for sure what the Republican 'replacement' for the ACA is going to be, because they don't know themselves."

US Health Care Spending on Children Soars

US Health Care Spending on Children Soars

The greatest areas of growth in absolute terms were inpatient well-newborn care, ADHD and asthma.

Increasing Health Care Spending in the US Continues

Increasing Health Care Spending in the US Continues

The highest spending was on diabetes, ischemic heart disease and low back and neck pain in 2013.

Lower Readmission Rates in Hospitals With ACA Program Penalties

Lower Readmission Rates in Hospitals With ACA Program Penalties

There were greater reductions in readmission rates compared with those at non-penalized hospitals.

Physicians for Universal Health Care?

Physicians for Universal Health Care?

Despite our love for a fee-for-service health-care system, health care in the US costs individuals and the government more than in any other industrialized nation — while providing less.

Overnight ER Visits Causing Medical Bill Surcharges

Overnight ER Visits Causing Medical Bill Surcharges

Patients are increasingly being charged for overnight visits to the emergency room and urgent care facility.

Opting Out of Medicare: A Physician's Perspective

Opting Out of Medicare: A Physician's Perspective

This physician discusses her experience with opting out of Medicare and offers advice to physicians considering doing the same.

Update on the 'Comprehensive Primary Care Initiative'

Update on the 'Comprehensive Primary Care Initiative'

Two years into the Comprehensive Primary Care Initiative showed that the delivery of primary care has improved, but expenses and patient experiences have not.

Medicare Expansion Varies Insurance Status of ER Visits

Medicare Expansion Varies Insurance Status of ER Visits

There were meaningful changes in insurance status, location and type of ER visits seen in first year of ACA.

Critical Changes in DEA Registration Renewal Process

Critical Changes in DEA Registration Renewal Process

The option to renew a registration online after the expiration date will no longer be available.

Soaring Costs of Prescriptions for Elderly Continue

Soaring Costs of Prescriptions for Elderly Continue

The cost of brand-name drugs for chronic conditions rose nearly 130 times faster than the inflation rate.

Outcomes-Based Pricing Suggested for Expensive, Novel Drugs

Outcomes-Based Pricing Suggested for Expensive, Novel Drugs

Strategy would encourage manufacturers and insurers to share accountability for clinical outcomes

Stepped Care Cost-Effective in Cancer Treatment

Stepped Care Cost-Effective in Cancer Treatment

The mean costs was lower and the mean number of quality-adjusted life-years was higher in the intervention group.

US Economy Loses Billions Due to Lack of Sleep

US Economy Loses Billions Due to Lack of Sleep

More than $411 billion a year is lost in the US due to lower productivity levels.

Opioid-Related Deaths May Increase As Naloxone Prices Soar

Opioid-Related Deaths May Increase As Naloxone Prices Soar

Investigators identify some strategies for ensuring the drug's availability.

Report Shows Fewer US Families Are Struggling to Pay Medical Bills

Report Shows Fewer US Families Are Struggling to Pay Medical Bills

The CDC reports that more Americans are experiencing relief with medical bills, but gaps still remain.

ADA Calls for Congress to Address Soaring Insulin Prices

ADA Calls for Congress to Address Soaring Insulin Prices

The American Diabetes Association is asking Congress to investigate the soaring prices of insulin.

Soaring Out-of-Pocket Costs for Medicare-Only Cancer Patients

Soaring Out-of-Pocket Costs for Medicare-Only Cancer Patients

Without supplemental insurance, out-of-pocket costs average 25% of their annual earnings.

Significant Financial Burden Associated with Increase Costs of CLL Treatment

Significant Financial Burden Associated with Increase Costs of CLL Treatment

The number of patients living with CLL is projected to increase 55% by 2025 and costs are set to rise 590%.

Antimicrobial Policy Compliance Increases with Computer Order Entry System

Antimicrobial Policy Compliance Increases with Computer Order Entry System

After introduction of the CPOE system, improvements have been seen in surveillance, compliance and approvals.

Health Care Cost Rising Significantly for Privately Insured Americans

Health Care Cost Rising Significantly for Privately Insured Americans

Prescription drugs are the fastest growing expense, report shows.

Binge-Eating Disorders Cause Significant Economic Burdens

Binge-Eating Disorders Cause Significant Economic Burdens

Individuals with BED face higher levels of activity and work impairment, as well as health care utilization.

Trump and Reproductive Healthcare

Trump and Reproductive Healthcare

OB/GYNs should be taking a more active role in protecting their patient's rights.

Major Unexpected Costs After In-Network ED Visits

Major Unexpected Costs After In-Network ED Visits

Although a hospital may be in an insurance network, the treating physician may not be.

Heart Failure Medication Prices Vary Widely, Study Shows

Heart Failure Medication Prices Vary Widely, Study Shows

This study suggests that patients can spend anywhere from $12 to $400 a month to fill their prescriptions.

Quality of Patient Care Associated with Human Resource Capabilities

Quality of Patient Care Associated with Human Resource Capabilities

Three human resource practices were identified that can improve clinical work behaviors.

Less Elective Early Deliveries After Oregon's Hard-Stop Policy Passes

Less Elective Early Deliveries After Oregon's Hard-Stop Policy Passes

There was a reduction in the rate of elective inductions before 39 weeks, as well as in elective early-term cesareans.

Prescription Subsidies Improve Persistence in Breast Cancer Hormone Therapy

Prescription Subsidies Improve Persistence in Breast Cancer Hormone Therapy

There was a greater discontinuation for white, black and Hispanic patients that were not receiving subsidies.

Medicare Part D Reduces Cost Burden of Prescription Drugs for Diabetes

Medicare Part D Reduces Cost Burden of Prescription Drugs for Diabetes

There was a decrease in the proportion of Part D beneficiaries who experienced coverage gap to 40.9% in 2011.

Hidden Fees Reported by Pharmacists Often Distort Prescription Costs

Hidden Fees Reported by Pharmacists Often Distort Prescription Costs

Direct and indirect remuneration fees and copay claw-back fees often skew the cost of prescription medications.

Majority of Health Professions View Insurance as Solution for Obesity

Majority of Health Professions View Insurance as Solution for Obesity

Approximately 57% of health professionals perceive improved coverage as a solution to improve outcomes in obese patients.

Smoking Cessation Medication Use Impacted by Medicaid Policies

Smoking Cessation Medication Use Impacted by Medicaid Policies

There was a reduction in the use of these medications with policies that required patients to obtain counseling.

Similar Rates in Employer-Sponsored Insurance Observed in 2013 and 2014

Similar Rates in Employer-Sponsored Insurance Observed in 2013 and 2014

This report shows that only 3.5% of employers dropped coverage and 1.1% added coverage from 2013 to 2014.

Tips for Doctors When Addressing Negative Patient Reviews

Tips for Doctors When Addressing Negative Patient Reviews

Doctors should respond quickly, validate their patients' complaints and demonstrate their willingness to take action.

Bundled-Payment Programs Surpass FFS Programs in Quality Care for Breast Cancer

Bundled-Payment Programs Surpass FFS Programs in Quality Care for Breast Cancer

Better adherence to quality indicators, outcome and cost control over time have been seen in bundled-payment programs than in FFS programs.

Absenteeism Associated With Chronic Diseases Have Significant Costs

Absenteeism Associated With Chronic Diseases Have Significant Costs

This study shows that considerable costs are associated with smoking, physical inactivity, obesity, hypertension and diabetes among employees.

Significant Economic Burden Associated With Vaccine-Preventable Diseases

Significant Economic Burden Associated With Vaccine-Preventable Diseases

The economic burden from vaccine-preventable diseases was estimated at about $9 billion in 2015 for adults aged 19 years and older.

Efforts to Improve Quality of Outpatient Care in America Have Little Effect

Efforts to Improve Quality of Outpatient Care in America Have Little Effect

A large analysis finds declines or stagnation in many basic health measures in the United States.

Narrow-Network Plans Have Lower Monthly Premiums Than Larger-Network Plans

Narrow-Network Plans Have Lower Monthly Premiums Than Larger-Network Plans

Study shows that small-network plans have less expensive monthly premiums when compared to larger-network plans.

Hospitals With Medicaid Expansion Saw Increased Annual Revenues

Hospitals With Medicaid Expansion Saw Increased Annual Revenues

Hospitals that implemented the Medicaid expansion in 2014 had increased Medicaid revenue and improved profit margins.

Hospital Inpatient Drug Spending Increasing More Every Year

Hospital Inpatient Drug Spending Increasing More Every Year

The increase in hospital drug spending is due to rising drug prices as opposed to an increase in use of the drugs.

Lean Practices Implementation Shown To Cut Wait Times at VA Hospitals

Lean Practices Implementation Shown To Cut Wait Times at VA Hospitals

Implementing lean practices at VA hospitals shown to drop mean patient wait times for elective general surgical procedures and increase operative volumes.

Stable Premiums for Health Care Coverage Seen in 2016

Stable Premiums for Health Care Coverage Seen in 2016

Family premium were 3% higher in 2016, but overall, there were no changes in share of firms offering health benefits.

Variations in State Policies Identified Regarding Freestanding ERs Nationwide

Variations in State Policies Identified Regarding Freestanding ERs Nationwide

There exists no standard requirements for location, staffing patterns nor clinical capabilities for freestanding ERs between states.

AMA Launches New Tools to Help Physicians Prepare for MACRA

AMA Launches New Tools to Help Physicians Prepare for MACRA

With the finalization of MACRA readily approaching, the AMA has unveiled 3 tools to help physicians prepare for it.

Communication Facilitators in ICUs May Improve Quality of Care and Reduce Costs

Communication Facilitators in ICUs May Improve Quality of Care and Reduce Costs

This study shows that full-time, trained communication facilitators may improve quality of care for patients and reduce overall costs in the ICU.

Copay Assistance Programs Believed To Do More Harm Than Good in Health Care Markets

Copay Assistance Programs Believed To Do More Harm Than Good in Health Care Markets

Despite offering assistance to those who cannot afford expensive medications, copay assistance programs create broader problems for patients.

US Health Care System Among One of Least Efficient Worldwide

US Health Care System Among One of Least Efficient Worldwide

According to the Bloomberg index, USA ranked 50 out of 55 countries in 2014 when looking at health care system efficiency.

Considerable Variation Seen in Medicare Payments for Perioperative Complication Patients

Considerable Variation Seen in Medicare Payments for Perioperative Complication Patients

A large variation in Medicare payments across hospitals for patients rescued from perioperative complications has been reported.

Premium Rates Under ACA Expected to Rise in 2017, Experts Say

Premium Rates Under ACA Expected to Rise in 2017, Experts Say

Experts say increases in premium rates under ACA will most likely affect people who get modest subsidies or no financial assistance.

Trend in Physicians Getting Involved in Developing New Payment Models

Trend in Physicians Getting Involved in Developing New Payment Models

The AMA suggests that physicians can take a role in developing new payment models for their practices.

Widespread Use of Telehealth Faces Legal and Provider Obstacles

Widespread Use of Telehealth Faces Legal and Provider Obstacles

This report states that since there is no uniform legal approach to accessing telehealth, the implementation of widespread use of telehealth is limited.

New Capping of Copays Policy Will Raise Premiums and Increase Drug Prices

New Capping of Copays Policy Will Raise Premiums and Increase Drug Prices

This report suggests that capping copays will likely benefit only about 1% of all Americans who take any prescription drug per year.

Medicare's Program Shows Improvement in Readmission Reduction in Safety-Net Hospitals

Medicare's Program Shows Improvement in Readmission Reduction in Safety-Net Hospitals

Medicare's HRRP has shown a reduction in readmissions for heart attack, heart failure and pneumonia in its first 3 years.

Doctors Practicing Empathy with Patients Can Lead to Higher Career Satisfaction

Doctors Practicing Empathy with Patients Can Lead to Higher Career Satisfaction

Doctors who take advantage of the first few minutes of a clinical encounter, by giving their full attention to patients, can lead to a higher job satisfaction.

New Program Developed to Help Transition Primary Care Into Patient-Centered Practice Model

New Program Developed to Help Transition Primary Care Into Patient-Centered Practice Model

This study describes a cognitive task analysis training program that may help transition care into a more patient-centered practice model.

Opioid Abuse is Costing the US Economy Billions of Dollars Annually

Opioid Abuse is Costing the US Economy Billions of Dollars Annually

This study suggests that the US is spending $78.5 billion a year on health care, lost of productivity and treatment programs on opioid abusers.

No Change in Quality of Care Since Hospital-Physician Employment Relationship Began

No Change in Quality of Care Since Hospital-Physician Employment Relationship Began

The switch to an employment model of physicians by hospitals is not linked to an improvement in any of the 4 composite quality metrics in patient care.

Health Care Costs Can be Reduced by Using Value-Driven Outcomes Tool

Health Care Costs Can be Reduced by Using Value-Driven Outcomes Tool

This study shows that a multifaceted value-driven outcomes tool can reduce the cost of health care by identifying variability in costs and outcomes.

Higher Rates of Career Satisfaction Seen in Cardiothoracic Surgeons

Higher Rates of Career Satisfaction Seen in Cardiothoracic Surgeons

According to this survey, 73% of practicing cardiothoracic surgeons are either satisfied, very satisfied, or extremely satisfied with their careers.

Electronic Health Records Found to Overwhelm and Increase Physician Burnout Rates

Electronic Health Records Found to Overwhelm and Increase Physician Burnout Rates

This survey finds that physicians who have to use EHRs report higher rates of burnout and job dissatisfaction.

Standard Panel Size of 2500 Patients Per Doctor is Not Optimal in Primary Care Setting

Standard Panel Size of 2500 Patients Per Doctor is Not Optimal in Primary Care Setting

This study suggests that the standard panel size of 2500 patients per physician is not appropriate in the primary care setting.

More Physicians Turning to Direct Primary Care as New Business Model

More Physicians Turning to Direct Primary Care as New Business Model

This study suggests that in order to bypass insurance companies and burnout, more physicians are practicing direct primary care as their new business model.

Complementary Medicine a Booming Business as Americans Spend Billions on Alternative Treatments

Complementary Medicine a Booming Business as Americans Spend Billions on Alternative Treatments

This study shows that Americans spent over $30 billion out of pocket on complementary and alternative medicine (CAM) treatments in 2012, proving it to be a booming business in the US.

Maximize Patient Care Time by Streamlining Revenue-Related Processes

Maximize Patient Care Time by Streamlining Revenue-Related Processes

By employing a practice management system that streamlines revenue cycle management processes, doctors can spend more time with their patients, the AMA says.

ACA Shown To Help More Americans Afford Prescription Medications Than Ever Before

ACA Shown To Help More Americans Afford Prescription Medications Than Ever Before

Despite an increasing number of Americans able to afford medications since ACA, millions still struggle, according to a recent study.

No Association Found Between Hospital Length of Stay, Mortality and State Medicaid Expansion

No Association Found Between Hospital Length of Stay, Mortality and State Medicaid Expansion

There was no association found between the ACA state Medicaid-expansion and hospital length of stay or mortality, study shows.

ACA Report Shows Rise in Prescription Use, Drop in Out-of-Pocket Spending

ACA Report Shows Rise in Prescription Use, Drop in Out-of-Pocket Spending

The Affordable Care Act (ACA) increases treatment rates and decreases out-of-pocket spending, a report says.

Pros and Cons of Patient Satisfaction Surveys

Pros and Cons of Patient Satisfaction Surveys

When you're a medical provider, the customer isn't always right. Letting patients dictate the scope of service, as is done in fields such as retail, results in dangerous situations and potentially poor outcomes.

Private Prisons Scrutinized for Poor Health Care

Private Prisons Scrutinized for Poor Health Care

Its no secret that private prisons operate under questionable practices. After all, they run as businesses and make a profit off of locking people up.

Political Correctness in Diverse Workplace Fosters Creativity

Political Correctness in Diverse Workplace Fosters Creativity

People may associate political correctness with conformity, but new research finds it also correlates with creativity in work settings.

The New James: Ohio State Creates a Model for Cancer Hospitals to Come

The New James: Ohio State Creates a Model for Cancer Hospitals to Come

Arthur G. James Cancer Hospital and Richard J. Solove Research Institute (OSUCCC-James) dedicates its new 1.1-million-square-foot, 21-floor freestanding cancer hospital on November 7, it will be the third-largest cancer hospital in the country, and the most innovative cancer hospital to date.

New ICD-10 Coding System May Cloud Hospital Safety

New ICD-10 Coding System May Cloud Hospital Safety

Changes in how medical diagnoses are coded under the latest international disease classification system (better known as the ICD-10 codes) may complicate the assessment of hospital safety, say researchers at the University of Illinois at Chicago.

Women's Health Commentary Recommends Steps to Take Full Advantage of ACA's Contraceptive Mandate

Women's Health Commentary Recommends Steps to Take Full Advantage of ACA's Contraceptive Mandate

In the wake of the Supreme Court's Hobby Lobby decision, a new commentary in the journal Women's Health Issues emphasizes the importance of making the most of the contraceptive coverage mandate under the Affordable Care Act (ACA). The commentary focuses on challenges beyond employer objections that could slow privately insured womens full use of contraceptive benefits, and offers suggestions for making the most of first-dollar contraceptive coverage.

Taxes and Subsidies Could Encourage a Healthier Diet and Lower Health Care Costs

Taxes and Subsidies Could Encourage a Healthier Diet and Lower Health Care Costs

In a viewpoint published today in JAMA, a team of Boston researchers call for the implementation of taxes and subsidies to improve dietary quality in the US. The researchers from the Friedman School of Nutrition Science and Policy at Tufts University, Harvard University, and Boston Childrens Hospital write that policies taxing nearly all packaged foods and subsidizing healthier foods could both help people make meaningful dietary changes and substantially reduce health care costs.

Keeping a Medical Office Clean

Keeping a Medical Office Clean

First impressions say much to a prospective patient, and working in a clean environment is essential for medical staff. Clean waiting rooms, exam rooms, front desks, and bathrooms are important. Keeping germs at bay is prudent. How many patients complain that they don't like going to the doctor (or hospitals) because they always get sick? In the medical office, a simple surface cleaning and pickup just is not enough.

Online Doctor Reviews and What You Can Do

Online Doctor Reviews and What You Can Do

One of the biggest changes wrought by Internet transparency is the ability of almost anyone to air both opinion and grievance to a wide audience. For physicians, and all other professionals in the field, this freedom has brought some challenges. Grievance, rather than praise, is more likely to motivate individuals to take to the web to make their comments public. Good reviews are expressed online, but dont tend to carry as much weight as the cautionary tale. Angry patients often turn to the public and their peers online to register grievances, which in some cases can feel like character assassination.

Waiting Rooms of the Best Medical Practices

Waiting Rooms of the Best Medical Practices

Along with waiting at the DMV and sitting in traffic, time spent in a doctor's waiting room is ranked among life's top inconveniences. No one enjoys sitting in an enclosed area full of sick people, idling his or her time with year-old magazines in a lackluster room while waiting to see the doctor. Even with appointments, wait times can be lengthy due to the fact that most offices overbook to compensate for frequent cancellations, but nothing is worse than waiting in a cluttered, unorganized, or boring space. So just how can you transform your waiting room from a drab limbo into a welcoming lounge area where patients feel comfortable spending their time?

Will Virtual Doctors Become More Commonplace Than Face-to-Face Doctor Visits?

Will Virtual Doctors Become More Commonplace Than Face-to-Face Doctor Visits?

We are living in a world of convenience. Fast-food restaurants are around every corner, television shows can be streamed instantly, and the answer to almost any question is just a Google search away. Medicine is also becoming more convenient through health-centric smartphone apps and EMRs, but the real convenience lies with virtual doctors. For many practices, no longer will patients have to get out of bed and travel to their doctor's office when they are feeling sick. A virtual doctor is just a mouse click away.

Concierge Medicine

Concierge Medicine

If you have ever walked into a "concierge" practice, also known as a "boutique" or "private-physician" medical practice, you may have noticed something remarkable. There is no waiting room. No overwhelming paperwork. No rush. Instead, there is a responsive physician, same-day appointments, and less stress than a visit to a traditional medical practice. This idea of "personalized care" is growing in popularity. Evidently, half-hour visits with the doctor and extensive annual physicals that can take half a day have been deemed worthy by those in search of more from their health care.

A Need For Reform: Obamacare-Misconceptions, Falsehoods, and Outright Lies

A Need For Reform: Obamacare-Misconceptions, Falsehoods, and Outright Lies

Since its inception, the Affordable Care Act (ACA) has fallen under intense scrutiny. Contrary to popular belief, it is essentially insurance reform, not health care reform. The law is complicated. It has multiple interlinking components that all rely on one another for it to be successful. The ACA is supposed to provide a larger safety net for Americans. Two major aspects of the ACA are the Medicaid expansion, which includes more funding for the federal Children's Health Insurance Program (CHIP), and closing the doughnut hole left by Medicare part D. For most Americans...

Study Again Confirms High Cost of Self-Referral with No Patient Benefit

Study Again Confirms High Cost of Self-Referral with No Patient Benefit

According to a new study in the New England Journal of Medicine (NEJM), self-referring urologists dramatically increased their usage of a more expensive, but not necessarily more effective, radiation treatment they own compared to their non-self-referring counterparts where no ownership interest exists. The study adds to the existing mountain of evidence that the in-office ancillary services loophole to the Stark Law costs the Medicare system billions without benefiting patients.

Over One Million Community Health Center Patients in 25 States Will Remain Uninsured and Left Out of

Over One Million Community Health Center Patients in 25 States Will Remain Uninsured and Left Out of

A new report by the Geiger Gibson/RCHN Community Health Foundation Research Collaborative at the George Washington University School of Public Health and Health Services (SPHHS) examines the impact of health reform on community health centers (CHCs) and their patients. "Assessing the Potential Impact of the Affordable Care Act on Uninsured Community Health Center Patients: A Nationwide and State-by-State Analysis," estimates that more than 5 million health center patients would have gained coverage had all states participated in a sweeping Medicaid expansion. However, nearly half of all CHCs are located in states that have opted out of the expansion. As a result, more than a million uninsured CHC patients who would have been covered under a nationwide Medicaid expansion will be left without the protection of health insurance, the report says.

Grow Your Practice With Physician Assistants

Grow Your Practice With Physician Assistants

Your office is busy, and it's time to add to your professional staff. But how difficult will it be for you to locate qualified physicians to satisfy your staffing needs? The Association of American Medical Colleges (AAMC) estimates that by 2015, the shortage of doctors across all specialties will quadruple from current levels. Previous estimates showed a baseline shortage of 39,600 doctors in 2015, but AAMC's current estimates are closer to 63,000, with a worsening of shortages through 2025, including 29,000 primary care doctors and 33,100 physicians in specialties such as cardiology, oncology, and emergency medicine.

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