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New Legislation Needed to Entice Interest of Insurers to Enter the ACA Marketplace

New Legislation Needed to Entice Interest of Insurers to Enter the ACA Marketplace

Implementing new policies that will persuade insurers to enter the Affordable Care Act marketplace will improve equity and affordability.

Diagnostic Coding Practices Encourage Better Documentation Without Improving Quality of Care

Diagnostic Coding Practices Encourage Better Documentation Without Improving Quality of Care

Medical diagnoses listed in claims have become increasingly important as risk-based payment systems have begun to use these codes to adjust payments made to health plans and providers.

Should You Hire a Practice Manager for Your Office?

Should You Hire a Practice Manager for Your Office?

Hiring a manager to assist with handling the responsibilities of running a medical practice can be beneficial, but there are a few factors to consider before deciding to do so.

Gifts From Pharmaceutical Companies Influence Prescribing Habits Across Multiple Specialties

Gifts From Pharmaceutical Companies Influence Prescribing Habits Across Multiple Specialties

According to a new study, receipt of gifts from pharmaceutical companies is associated with more prescriptions per patient and more costly prescriptions.

Experts Weigh in on ACP Position Statement on Physician-Assisted Suicide

Experts Weigh in on ACP Position Statement on Physician-Assisted Suicide

Authors of recent position papers provide their opinion on the legalization of physician assisted suicide.

Medical Tourism Requires Standardized Definition to Assess Full Impact

Medical Tourism Requires Standardized Definition to Assess Full Impact

The 2016 Global Healthcare Policy and Management Forum discussed the regulation of medical tourism and the gaps that exist in available data.

Clear Communication Essential When Apologizing for Medical Errors

Clear Communication Essential When Apologizing for Medical Errors

Investigators noticed distinct themes and characteristics that appear to underlie all medical error apologies.

Female HCPs, Longer Consultations Associated With Higher Empathy Scores

Female HCPs, Longer Consultations Associated With Higher Empathy Scores

Higher empathy ratings were observed in studies that had more female than male practitioners.

The End of DACA: What This Means for Dreamer Physicians Across America

The End of DACA: What This Means for Dreamer Physicians Across America

Following the end of the DACA program, questions linger among undocumented medical residents and students now facing possible deportation.

Ethical Conflicts Between Patient and Physician Are Common in Futility Care

Ethical Conflicts Between Patient and Physician Are Common in Futility Care

Some physicians "may invoke futility to unilaterally withhold treatment when the treatments 'prolong the dying process'" at the bedside.

Thinking About Buying a Practice? Here's What You Need to Know

Thinking About Buying a Practice? Here's What You Need to Know

Physicians must remember that they will be a business owner in addition to being a health care provider.

A Closer Look at Addressing HIPAA Security Risks

A Closer Look at Addressing HIPAA Security Risks

Health care providers do not necessarily have to meet every HIPAA standard.

Changing Healthcare Dynamics Calls for New Practice Options

Changing Healthcare Dynamics Calls for New Practice Options

Partnering with an organization is a practice option that may provide many multifaceted benefits.

Evaluating Practice Options in Today's Healthcare Environment

Evaluating Practice Options in Today's Healthcare Environment

Thriving in this new healthcare environment demands both significant capital investment and the ability to navigate increasingly complex reporting requirements and financial arrangements.

How Often Do Hospitalized Patients Perceive Breakdowns in Care?

How Often Do Hospitalized Patients Perceive Breakdowns in Care?

Hospitalized patients frequently reported breakdowns in care.

More Clarity Needed on Recordings of Medical Encounters, Policy Experts Say

More Clarity Needed on Recordings of Medical Encounters, Policy Experts Say

The law is inconsistent, with patient encounter recordings being allowed in certain situations and illegal in others.

The Five Things Every Physician Needs to Know About MACRA

The Five Things Every Physician Needs to Know About MACRA

Five potentially pivotal issues physicians should understand about MACRA.

Boost Your Income by Negotiating Payer Contracts

Boost Your Income by Negotiating Payer Contracts

Familiarity with current contracts and knowing how to negotiate better ones can be crucial to boosting your income.

Growing Your Physician Practice by Managing Referrals and Payers

Growing Your Physician Practice by Managing Referrals and Payers

Tracking and nurturing your referral resources, reaching out to referring physicians, and referring patients covered by a broad spectrum of payers are just a few of the ways you can grow your practice.

Tips on Preventing Medical Billing Errors

Tips on Preventing Medical Billing Errors

Up to 80% of all medical bills contain mistakes; follow these best practices to avoid billing errors.

Concierge Medicine: Just the Ticket for Many Patients and Physicians

Concierge Medicine: Just the Ticket for Many Patients and Physicians

In a medical marketplace that is increasingly dominated by consumerism, concierge medicine gives many patients an attractive alternative to accessing health services.

Medical Discrimination of Overweight Patients has Detrimental Effects

Medical Discrimination of Overweight Patients has Detrimental Effects

Medical discrimination based on patient size can be stressful for patients and have a detrimental effect on their health.

Medical Malware: How to Protect Yourself and Your Patients

Medical Malware: How to Protect Yourself and Your Patients

No strategies are perfect for completely protecting hospital systems from ransomware attacks, but following best practices is key for prevention and protection.

Increased Number of Patients Enrolled in Cancer Trials Under ACA

Increased Number of Patients Enrolled in Cancer Trials Under ACA

Under the Affordable Care Act, more privately insured patients have enrolled in clinical trials for cancer treatments.

Assessing Accountable Care Organization Cost Savings

Assessing Accountable Care Organization Cost Savings

With continued evaluation and adaptation, ACOs promise to provide sustainable reform of healthcare costs and management for the future.

Higher Inpatient Spending Linked to Better Outcomes

Higher Inpatient Spending Linked to Better Outcomes

Investing more in inpatient care relative to longer-term nursing facilities may help reduce mortality rates, while downstream spending at skilled nursing facilities found to be a strong predictor of mortality.

Patients with Medicaid Are Satisfied With Their Health Care

Patients with Medicaid Are Satisfied With Their Health Care

Patients that are enrolled in Medicaid rate their overall health care at 7.9, on average, on a scale of 1 to 10.

Number of Uninsured American Adults Rises by Two Million

Number of Uninsured American Adults Rises by Two Million

The losses in coverage concentrated among younger adults and people buying their own health insurance policies.

Use of Health Services Largely Unchanged From 1996-1997 to 2011-2012

Use of Health Services Largely Unchanged From 1996-1997 to 2011-2012

The use of health services was largely unchanged, but expenditures of medical services increased in almost every category assessed.

Doctors, Horse Traders, and Used Car Salesmen

Doctors, Horse Traders, and Used Car Salesmen

The profession of medicine — and the delivery of health care in this country — should be free of the same kind of chicanery used to move goods on the open market.

Change in Generic Drug Prices Linked to Market Competition

Change in Generic Drug Prices Linked to Market Competition

The study noted a price change of -31.7% for quadropoly and 47.4% for monopoly.

Significant Number of Seniors Don't Seek Help for Drug Costs

Significant Number of Seniors Don't Seek Help for Drug Costs

Among the respondents who said their medication costs were a burden, 49% had not talked to their doctors about the issue.

Fewer Cardiac Arrests Seen Since ACA Health Insurance Enactment

Fewer Cardiac Arrests Seen Since ACA Health Insurance Enactment

There was an 'extraordinary reduction' seen among middle-aged adults after enactment of the health care law.

Medicare Advantage Shown to Have Significant Racial Disparities

Medicare Advantage Shown to Have Significant Racial Disparities

There were more racial disparity, versus traditional Medicare, for hospital readmissions for 6 major surgeries.

Many Patients Prefer Pharmacy-Driven Model of Primary Care

Many Patients Prefer Pharmacy-Driven Model of Primary Care

Most payer reimbursement decision-makers indicated that their organization would reimburse this model.

Health Care Spending Per State Stabilized From 1991 to 2014

Health Care Spending Per State Stabilized From 1991 to 2014

Recession and recovery, as well as implementation of health reform impacted health care coverage.

Medicare Costs Soar With Pre-Admission Functional Impairments

Medicare Costs Soar With Pre-Admission Functional Impairments

There was an increase in mean Medicare costs after discharge that were linked to severity of pre-admission impairment.

Former Pharma Representatives Being Used by Health Insurers to Lower Costs

Former Pharma Representatives Being Used by Health Insurers to Lower Costs

Former pharma reps are educating doctors about costs of medications and encouraging the use of generic drugs.

Hospitals and States Could be Impacted if H-1B Visa Program Changed, Researchers Warn

Hospitals and States Could be Impacted if H-1B Visa Program Changed, Researchers Warn

"Certain states and employers relied heavily on the H-1B program, whereas others seldom, if at all, used it."

AMA Strives to Improve Drug Pricing Transparency

AMA Strives to Improve Drug Pricing Transparency

At the annual meeting, the physicians' group adopted new policies on drug pricing to protect patients.

Healthcare Rules: How Relevant Are They Today?

Healthcare Rules: How Relevant Are They Today?

A major complaint in healthcare systems is the number of rules that have no beneficial outcomes.

Iowa Physicians Protected by New Bill With Tort Reforms

Iowa Physicians Protected by New Bill With Tort Reforms

Reforms include limiting noneconomic damages for intangibles and stronger expert witness standards.

Income-Based Health Care Inequalities Most Prevalent in America

Income-Based Health Care Inequalities Most Prevalent in America

More public tolerance for health care inequalities is seen in the United States than other countries.

Americans' Health Negatively Affected by US Election Results

Americans' Health Negatively Affected by US Election Results

A review of Obama and Trump wins suggests an impact on stress and disease levels.

Prior Authorizations Addressed by New AAFP Policy

Prior Authorizations Addressed by New AAFP Policy

Coalition urges insurers to apply reform principles to current prior authorization programs.

Patients Frequently Overcharged by US Emergency Departments

Patients Frequently Overcharged by US Emergency Departments

Minorities and uninsured are the most affected, researchers say.

Republican Health Care Bill Threatens Coverage for 23 Million Americans

Republican Health Care Bill Threatens Coverage for 23 Million Americans

While premiums may lower over the long-term, many would face much higher out-of-pocket costs.

High-Risk Pools in AHCA Likely to Keep Costs High

High-Risk Pools in AHCA Likely to Keep Costs High

Higher premiums, deductibles and out-of-pocket costs are likely to make high-risk pools unaffordable.

Republicans Face Challenge of Consensus Before Replacing the ACA, Policy Expert Says

Republicans Face Challenge of Consensus Before Replacing the ACA, Policy Expert Says

"It was evident from the internal backlash to the recent Republican House committee bills that there is a deep divide among Republicans."

Majority of Medical Practices Guilty of Dismissing Patients

Majority of Medical Practices Guilty of Dismissing Patients

Reasons include inappropriate behavior toward staff, violation of prescription policies and repeatedly missed appointments.

The American Health Care Act — Is It the Best We Can Do?

The American Health Care Act — Is It the Best We Can Do?

Republicans are not looking at the problems with the ACA, nor are they trying to find real solutions. The only Americans they seem to serve are those who need the ACA the least.

Higher Premiums and the Affordable Care Act — Why the ACA Isn't to Blame

Higher Premiums and the Affordable Care Act — Why the ACA Isn't to Blame

Republicans have capitalized on the misunderstood concept that the ACA is responsible for their health premiums going up and misleading voters to turn them against the ACA.

Decline of Uninsured Rates in Adults Starting to Slow Down

Decline of Uninsured Rates in Adults Starting to Slow Down

The uninsured rate was 9% in 2016, compared with 9.1% in 2015.

States Required to Meet Medicaid Standards of Care by 2022

States Required to Meet Medicaid Standards of Care by 2022

Standards were set in a 2014 rule aiming to improve the quality of care that disabled enrollees received outside of institutions.

Reducing Health Care Costs With New Nine-Step Plan

Reducing Health Care Costs With New Nine-Step Plan

This nine-point plan includes streamlining in billing, reduction in high facility fees and reducing drug costs.

National Health Initiatives Threatened With Passing of Two Congressional Bills

National Health Initiatives Threatened With Passing of Two Congressional Bills

Two recent acts of Congress pose serious threats to national infectious disease health initiatives.

Providing Optimal Care to Medicaid Patients Under the Affordable Care Act

Providing Optimal Care to Medicaid Patients Under the Affordable Care Act

Despite the increase in coverage under the ACA, data suggest Medicaid patients often had increased wait times for appointments to see healthcare providers.

High-Price Practices Associated With Certain Measures of Care Coordination

High-Price Practices Associated With Certain Measures of Care Coordination

There were no differences in overall care ratings, receipt of preventive services and acute care use.

Longer Outpatient Wait Times for Medicaid Recipients

Longer Outpatient Wait Times for Medicaid Recipients

Researchers suggest lag time might be due to providers having larger caseloads.

New Poll Suggests Many Americans Concerned About ACA Repeal

New Poll Suggests Many Americans Concerned About ACA Repeal

However, support for the law depends on political affiliation.

Medical Liability Reform Challenges in Dynamic Healthcare Environment

Medical Liability Reform Challenges in Dynamic Healthcare Environment

A new bill aimed specifically at limiting medical liability was passed by Congress on March 1, 2017.

California Advances Single-Payer Health System Bill

California Advances Single-Payer Health System Bill

It is not yet clear where the money for the single-payer system would come from.

Some Say Patient Care Harmed by Ordering Routine Blood Tests

Some Say Patient Care Harmed by Ordering Routine Blood Tests

Authors of this opinion piece say that unnecessary lab tests contribute to rising costs and can damage patient care.

Trump Administration Dismisses US Surgeon General Vivek Murphy, MD

Trump Administration Dismisses US Surgeon General Vivek Murphy, MD

Vivek Murthy, MD, had served just over two years of his four-year term.

Lower Readmissions Associated With Vertical Integration of Hospitals

Lower Readmissions Associated With Vertical Integration of Hospitals

There was a reduction in readmissions in 4 of 6 hospitals, with positive effects for a limited number of conditions.

No Increase in State Spending with ACA Medicaid Expansions

No Increase in State Spending with ACA Medicaid Expansions

State budget projections were accurate for federal, state, and Medicaid spending.

ACA Can Withstand Executive Orders, Constitutional Experts Argue

ACA Can Withstand Executive Orders, Constitutional Experts Argue

President Trump's executive order would likely lead to dropped coverage and increased premiums — which would conflict with the goals of the ACA — its provisions would be difficult to implement.

Cost of Care Increases When Specialists Serve as Primary Health Provider

Cost of Care Increases When Specialists Serve as Primary Health Provider

For older adults with multimorbidity, having a specialist as their primary caregiver was linked to a lower continuity of care.

Primary Care Services Expanding in Retail Medical Sites

Primary Care Services Expanding in Retail Medical Sites

CVS and Walmart have established primary care clinics, with nurse practitioners and physician assistants.

Extensive Ties Between Patient-Advocacy Organizations and Industry Suggest Potential Conflicts of Interest

Extensive Ties Between Patient-Advocacy Organizations and Industry Suggest Potential Conflicts of Interest

Approximately 83% of patient-advocacy organizations reported that they received financial support from drug, device, and technology companies.

Congress Addresses Antibiotic Resistance With Presentation of New Bill

Congress Addresses Antibiotic Resistance With Presentation of New Bill

Bill 1840 presented before Congress provides tax incentives to "reinvigorate" antibiotic research.

Financial Benefits Associated with Risk Adjustments and Reinsurance Transfers

Financial Benefits Associated with Risk Adjustments and Reinsurance Transfers

Revenues exceeded claims costs after the implementation of these programs.

Doctors Find Creative Ways to Work Around Prescription Medication Prices

Doctors Find Creative Ways to Work Around Prescription Medication Prices

One physician devised a workaround for EpiPens, which uses an autoinjector filled with epinephrine.

Physicians Should Be Cautious of HIPAA Violations During Online Reviews

Physicians Should Be Cautious of HIPAA Violations During Online Reviews

Physicians should keep their replies to patient online reviews short and simple.

How Sustainable is Your Primary Care Practice, Really?

How Sustainable is Your Primary Care Practice, Really?

Can primary-care physicians keep up with our current economic and regulatory reality?

Higher Quality Products Associated with Vertical Integration Insurance

Higher Quality Products Associated with Vertical Integration Insurance

There was a slight increase in the percentage of insurance products offered by hospitals and health systems from 2011-2015.

Spending Patterns in Training Impact Future Physician Practice

Spending Patterns in Training Impact Future Physician Practice

There was a significant annual, per-beneficiary spending difference for physicians trained in high- and low-cost HSAs.

Television Advertising During ACA Enrollment Decreased Uninsurance Rates

Television Advertising During ACA Enrollment Decreased Uninsurance Rates

Counties exposed to higher volumes of local insurance ads had a larger drop in uninsurance.

ACP Addresses Impact of Administrative Tasks on Physicians

ACP Addresses Impact of Administrative Tasks on Physicians

The American College of Physicians details policy recommendations to reduce administrative burden.

Primary Care Physicians Oppose Repeal of ACA, but Support Improvements

Primary Care Physicians Oppose Repeal of ACA, but Support Improvements

"We found that PCPs strongly endorse key elements of the ACA that enable individuals to obtain insurance coverage and that very few support repealing the law."

Economic Benefits for Prediabetic Patients with Lifestyle Modifications

Economic Benefits for Prediabetic Patients with Lifestyle Modifications

The three-year return on investments for the prevention program was estimated to be as high as 42%.

Increasing Support for Medicaid Put Republicans in a Bind

Increasing Support for Medicaid Put Republicans in a Bind

According to a Kaiser Family Foundation poll, two-thirds of Americans feel Medicaid should continue as is today.

ACA's Medicaid Expansion May Have Problems with Timely Care

ACA's Medicaid Expansion May Have Problems with Timely Care

Research shows the benefits, but there were also more problems with patients getting appointments.

Higher Physician Spending Not Linked with Better Patient Outcomes

Higher Physician Spending Not Linked with Better Patient Outcomes

There was no difference in patient outcomes when physicians order more -- or more pricey -- tests and treatments.

Republicans' Plan to Repeal the ACA Is Reckless, Says Former President Barack Obama

Republicans' Plan to Repeal the ACA Is Reckless, Says Former President Barack Obama

"Health-care reform isn't about a nameless, faceless 'system,'" the former president wrote. "It's about the millions of lives at stake."

Michigan Analysis Suggests Costs of Medicaid Expansion Outweighed by Economic Benefits

Michigan Analysis Suggests Costs of Medicaid Expansion Outweighed by Economic Benefits

However, the broad economic benefits of employment, increased personal income and increased state-tax revenues will cover the state's cost for expanded coverage.

Where There Is Medicaid Expansion, There Is Voter Support for ACA

Where There Is Medicaid Expansion, There Is Voter Support for ACA

States with Medicaid expansion have substantially improved access to care, affordability, chronic-disease management and self-reported health.

Republicans Introduce Affordable Care Act Replacement

Republicans Introduce Affordable Care Act Replacement

An initial Republican replacement for the Affordable Care Act was formally introduced on Monday.

Cost Estimates Offered by Most Health Care Providers

Cost Estimates Offered by Most Health Care Providers

Although 75% of provider organizations can offer estimate, only 25% of patients request one.

Significant Economic Burden Caused by Skin Diseases

Significant Economic Burden Caused by Skin Diseases

In the United States, dermatological conditions cost $75 billion in 2013, researchers say.

Uninsurance Rates Reach 8.8% of Americans in 2016

Uninsurance Rates Reach 8.8% of Americans in 2016

In first nine months of 2016, 12.3% of adults aged 18 to 64 and 5% of children were uninsured.

Health Care Setting Influences Treatment for Carotid Artery Stenosis

Health Care Setting Influences Treatment for Carotid Artery Stenosis

The likelihood of undergoing a procedural management increased for treatment in a fee-for-service system.

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