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Requiring Insurers to Participate in Marketplace Could Improve Access

Requiring Insurers to Participate in Marketplace Could Improve Access

If the government required insurers that participate in Medicare or Medicaid to participate in the marketplaces in the same geographic area, there would be potential to improve access.

Observation Care Costs Increased Among Commercially Insured Patients

Observation Care Costs Increased Among Commercially Insured Patients

The cost of observation care has increased for commercially insured patients, but it is still lower than spending for short-stay hospitalizations

Multimodal Ovarian Cancer Screening May Be Cost-Effective in the United States

Multimodal Ovarian Cancer Screening May Be Cost-Effective in the United States

Researchers found that multimodal screening is both more expensive and more effective in reducing ovarian cancer mortality over a lifetime.

US Healthcare Spending Growth Slowed in 2016

US Healthcare Spending Growth Slowed in 2016

The slowdown in Medicaid and private health insurance spending growth in 2016 was driven by enrollment trends, while Medicare spending was influenced by slower per enrollee spending growth.

Value-Based Payment Modifier Program Not Linked to Differences in Practice Performance

Value-Based Payment Modifier Program Not Linked to Differences in Practice Performance

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The Value-Based Payment Modifier is not associated with differences in performance between practices serving higher-risk and lower-risk patients.

Physician Density Tied to Increased Use of Dermatology Procedures, More Billing to Medicare

Physician Density Tied to Increased Use of Dermatology Procedures, More Billing to Medicare

Higher dermatologist density is associated with increased use of dermatology procedures and subsequent billed charges to Medicare.

CVS-Aetna Merger May Result in More Store-Based Healthcare Providers

CVS-Aetna Merger May Result in More Store-Based Healthcare Providers

CVS Health announced the $69 billion purchase of insurance giant Aetna.

Few Websites Provide Online Price Estimates for Medical Interventions

Few Websites Provide Online Price Estimates for Medical Interventions

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Less than 1 in 5 websites provide price estimates for nonemergency medical interventions.

Cancer Survival Improvements Limited to Patients With Medicare, Private Insurance

Cancer Survival Improvements Limited to Patients With Medicare, Private Insurance

Improvements in cancer survival were limited to patients with private or Medicare insurance.

Health Care Costs in the US: Are Physician Salaries Really the Problem?

Health Care Costs in the US: Are Physician Salaries Really the Problem?

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Decreasing physicians' salaries will not improve the cost of health care in the United States, but it may discourage individuals from entering the healthcare field.

Single Measles Cases Associated With Considerable Costs

Single Measles Cases Associated With Considerable Costs

A single case triggers coordinated public health action that is associated with considerable costs.

Physician Burnout Linked to High Costs for Organizations

Physician Burnout Linked to High Costs for Organizations

The economic loss at Stanford over 2 years is expected to range from 15.5 million to 55.5 million.

CMS Rule on Part B Drugs Could Lead to Steep Payment Cuts for Some Specialists

CMS Rule on Part B Drugs Could Lead to Steep Payment Cuts for Some Specialists

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The Centers for Medicare & Medicaid Services issued a final rule that could result in steep payment reductions for physicians of certain specialties in 2018.

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

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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

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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.

Medicare Cuts May Cause the End of the Patient-Centered Medical Home

Medicare Cuts May Cause the End of the Patient-Centered Medical Home

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Congressional cuts to Medicaid have made it increasingly difficult for patient-centered medical homes to operate.

Ethical Conflicts Between Patient and Physician Are Common in Futility Care

Ethical Conflicts Between Patient and Physician Are Common in Futility Care

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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

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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.

The Five Things Every Physician Needs to Know About MACRA

The Five Things Every Physician Needs to Know About MACRA

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Five potentially pivotal issues physicians should understand about MACRA.

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.

Growing Your Physician Practice by Managing Referrals and Payers

Growing Your Physician Practice by Managing Referrals and Payers

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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.

Boost Your Income by Negotiating Payer Contracts

Boost Your Income by Negotiating Payer Contracts

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

Concierge Medicine: Just the Ticket for Many Patients and Doctors

Concierge Medicine: Just the Ticket for Many Patients and Doctors

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

Number of Physicians Since 2010 Census Rising

Number of Physicians Since 2010 Census Rising

Census reports have demonstrated an increase in the number of physicians and in the actively licensed US physicians-to-population ratio.

Average Physician Salary Increase of 2.6% in 2016

Average Physician Salary Increase of 2.6% in 2016

Approximately 77% of physician specialties experienced increases in compensation in 2016, with an overall weighted average increase of 2.9%.

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.

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.

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