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Managed Care
December 2007
John Carroll
How Doctors Are Paid Now, And Why It Has to Change Everyone knows about the perverse incentive of fee-for-service medicine, but that hasn't had much effect on its use. mark for My Articles similar articles
Managed Care
July 2007
AMA: Patients Will Feel Cuts in Medicare Next year's proposed 10 percent cut in Medicare payments is serving as a rallying point for members of the American Medical Association, which says the cuts will make it difficult for physicians to accept new Medicare patients. mark for My Articles similar articles
Managed Care
April 2006
John Carroll
Some Specialist Societies Feel Left Out of AMA-CMS Deal on P4P Many physicians question the fairness of a deal between the American Medical Association and the government that give doctors a bonus when they follow certain rules. mark for My Articles similar articles
BusinessWeek
June 17, 2009
Catherine Arnst
Why the AMA Will Likely Support Health-Care Reform Obama's plan might lower specialists' pay, but it would help primary-care doctors, save the industry billions, and please voters. mark for My Articles similar articles
Managed Care
March 2006
Standard Measures In Works For P4P Push Uncle Sam has decided to get behind the pay-for-performance effort in a big way, something some physician associations are less than thrilled about. mark for My Articles similar articles
Managed Care
May 2002
Patrick Mullen
Interview: Thomas Scilly In a candid, wide-ranging interview, the Centers for Medicare and Medicaid Services administrator counsels patience in solving the myriad problems of health care. A fix could take 20 years mark for My Articles similar articles
Managed Care
July 2007
Tom Reinke
Better Ways to Pay Providers Paying for coordinating care and for packages of services -- bundling and episodes of care -- may be the best bet for a modification of the unfettered fee-for-service system. mark for My Articles similar articles
Managed Care
May 2006
Michael Levin-Epstein
Looking for a Better Way To Manage Care Can primary care physicians persuade health plans and Medicare to accept their version of the chronic care model? mark for My Articles similar articles
Managed Care
June 2005
Martin Sipkoff
The Re-Emergence of the Primary Care Physician A new model of care developed by the American Academy of Family Physicians places primary care physicians back at the center of care delivery. mark for My Articles similar articles
Managed Care
May 2005
Medicare PPOs Face Challenge to Funding All the excitement in the industry about Medicare PPOs died in a hurry last month as the Medicare Payment Advisory Committee (MedPAC) moved closer to recommending that the $10 billion fund for the program be eliminated. mark for My Articles similar articles
BusinessWeek
January 20, 2011
Anna Edney
The Doctors in the House Have an Agenda Republican physician-lawmakers want to dismantle a Medicare cost-cutting board that could hit doctors in their wallets. mark for My Articles similar articles
Managed Care
October 2007
John Carroll
Medicare Coverage Rules Are Not Always Last Word Yes, commercial health insurers often take a cue from the government, but that doesn't mean that they follow blindly. mark for My Articles similar articles
Managed Care
June 2007
MargaretAnn Cross
What the Primary Care Physician Shortage Means for Health Plans Insurers fear rising costs and poorer outcomes if members are less able to get appointments with family physicians and general internists. mark for My Articles similar articles
Managed Care
July 2006
Physicians' Real Income Continues to Fall Adjusted for inflation, physicians' net income from the practice of medicine declined 7% between 1995 and 2003, according to a national study. mark for My Articles similar articles
BusinessWeek
April 22, 2010
James Warren
Commentary: General Practitioners Need to Make More Money These doctors are grossly underpaid compared with specialists. A federal panel wants to reduce the discrepancy. mark for My Articles similar articles
Managed Care
March 2006
Taylor & Eck
It's Time for CMS to Release Physician Medicare Claim Information The Center for Medicare & Medicaid Services is a rich source of price and quality data. Isn't it about time it shared that data? mark for My Articles similar articles
The Motley Fool
January 24, 2005
Brian Gorman
Medicare on the Block The government may freeze Medicare reimbursements to long-term care providers. Investors in long-term care outfits look to be in for a bumpy ride in the near term. mark for My Articles similar articles
The Motley Fool
January 22, 2007
Dan Caplinger
Understanding Medicare: Claims In general, Medicare provides a level of coverage that is fairly similar to what private health insurance plans offer. Here are some tips for getting the most from it. mark for My Articles similar articles
Managed Care
November 2002
Sharon Baker
Applause, Catcalls Greet Retainer Medicine Proponents tout personalized care and easy access, and imply superior health care. Critics fear "elitist" practices. mark for My Articles similar articles
The Motley Fool
February 24, 2009
Brian Orelli
Health Insurers Hammered. Again. Health insurers were blown away by the Centers for Medicare and Medicaid Services' announcement that it plans to raise the 2010 Medicare Advantage payment rates by only 0.5%. mark for My Articles similar articles
The Motley Fool
February 10, 2009
Devon Rackle
Home Health Investors, Be Warned Trends in compensation, proposed compensation reductions, and excessive industry margins spell trouble for the home health provider sector. mark for My Articles similar articles
Managed Care
May 2007
Frank Diamond
Medicare Advantage Hits Jackpot with Private Fee-for-Service Plans The secret to the success of Medicare private fee-for-service plans is as old as gold. Will beneficiary satisfaction force Congress to keep the faucet turned on? mark for My Articles similar articles
Managed Care
September 2002
Medicare holds down physician pay Compensation increased at a comparatively small rate from 2000 to 2001 for both primary care physicians and specialists, according to the Medical Group Management Association. mark for My Articles similar articles
BusinessWeek
October 10, 2005
Howard Gleckman
Medicare's Big Experiment The coming changes to Medicare aim to cut costs while improving care. Sound familiar? mark for My Articles similar articles
American Family Physician
January 15, 2007
Newsletter Congress Passes Legislation That Prevents Medicare Payment Cut... Congress Approves Extension of Physicians for Underserved Areas Act... HHS Unveils Four Cornerstones of Value-Driven Health Care System... etc. mark for My Articles similar articles
Managed Care
November 2004
Frank Diamond
DM's Cost-Effectiveness Doubted in CBO Report Congress's financial review agency says that not enough evidence exists to prove that disease management saves money. Many beg to differ. mark for My Articles similar articles
BusinessWeek
October 1, 2009
Sasseen & Arnst
Why Business Fears the Public Option Executives contend that it will lead health-care providers to charge patients in private plans higher rates. mark for My Articles similar articles
Managed Care
October 2005
Headlines On Deadline ... Defensive medicine is something the public seems to be very aware of... Pay-for-performance initiatives got a boost... mark for My Articles similar articles
AskMen.com
Tara Weiss
Reasons Not To Become A Doctor There were once many rewards to being in the medical profession. For decades, doctors earned hefty paychecks, had autonomy and respect. Those benefits are fading, and as a result, so is the number of doctors. mark for My Articles similar articles
Pharmaceutical Executive
November 1, 2005
Rubinstein & Galardi
Bustin' a CAP: The Competative Acquisition Program The new Competitive Acquisition Program for Medicare Part B drugs aims to align market forces with the distribution of drugs and biologics that doctors administer in their offices, but increasing bureaucracy is a major downside. mark for My Articles similar articles
Managed Care
January 2008
Marcia Naveh
Lax Coding by Physicians Hurts Medicare Advantage Plans By assisting doctors, insurers can get all the payment that they are due, but that too often is lost. mark for My Articles similar articles
Financial Advisor
June 2010
Andrew Gluck
Advising Doctors As medical economics change for the worse, both physicians and their financial advisors are getting organized. mark for My Articles similar articles
BusinessWeek
July 14, 2003
Howard Gleckman
This Medicare Reform Is No Cure The theory: The shift will improve treatment and save taxpayers money, helping to rein in ballooning Medicare costs while offsetting the expense of the drug benefit. Those are laudable goals. Unfortunately, Congress isn't likely to achieve them. mark for My Articles similar articles
Managed Care
October 2005
Bob Carlson
What Docs Hate Most About Plans Some insurers seem to have a knack for irritating their network physicians. The list is long, but five categories of irritants seem to recur most often. mark for My Articles similar articles
Financial Planning
November 1, 2007
Donald Jay Korn
Medicare Choices What are Medicare private fee-for-service plans and why did their fortunes rise and fall so dramatically? Most important, if these plans survive in their current form, should advisors suggest them for clients enrolled in or approaching Medicare eligibility? mark for My Articles similar articles
Managed Care
February 2001
In Medicare Bill, HMOs Got What They Wanted When the dust cleared over how $35 billion in Medicare "givebacks" would be divided, the Republicans prevailed -- Medicare HMOs got a bigger cut than Democrats wanted to give them. Now, President Bush may be poised to give Medicare managed care plans more... mark for My Articles similar articles
Managed Care
April 2002
Frank Diamond
Medicare+Choice: Uncertain Future for Unstable Program While policy makers haggle over President Bush's budget request for the system, an ominous question looms: Can money solve all the problems? mark for My Articles similar articles
Pharmaceutical Executive
August 1, 2013
Jill Wechsler
Costs and Coverage Challenge Medicare Drug Plans Rate cuts and fraud concerns create problems for Part D plans and Part B providers. mark for My Articles similar articles
Managed Care
October 2000
Quick Fix May Be in Store for M+C, But Meaningful Change Likely To Wait Whatever diversion prescription drug proposals have provided, Medicare+Choice is back on Congress's radar screen. While sentiment is again running strong among legislators to address the wounded program, Congress is now racing a clock ticking ever closer to the elections... mark for My Articles similar articles
Managed Care
September 2000
Headlines on Deadline Chest X-rays do not save lives when used to screen for lung cancer, according to a 20-year study... physician are leaving California in droves... Congress will consider restoring $21 billion in Balanced Budget Act cuts to Medicare providers over five years... etc. mark for My Articles similar articles
BusinessWeek
December 17, 2009
Pat Wechsler
The Coming U.S. Doctor Shortage Health-care reform will mean 30 million more patients -- and bigger crowds in waiting rooms mark for My Articles similar articles
Managed Care
January 2005
Leary & Farley
Health Plans Slow To Adopt Outpatient Prospective Payment The private sector drags its feet over Ambulatory Payment Classifications. Here are some suggestions to move acceptance along. mark for My Articles similar articles
Managed Care
July 2007
John Carroll
Unlocking a Trove of Quality Data A bill before Congress would give analysts a powerful tool for sifting through Medicare data on the performance of hospitals and physicians. mark for My Articles similar articles
Managed Care
August 2002
Maureen Glabman
Lobbyists That the Founders Just Never Dreamed of The "right ... to petition the government" has come a long way in over 200 years, and health care organizations are not shy in exercising it. mark for My Articles similar articles
Managed Care
March 2007
John Carroll
Democratic Agenda Places Medicare Advantage at Risk Battle lines are drawn over proposals to raid the Medicare managed care program of funds to be applied to other health care needs. Democrats themselves are split. mark for My Articles similar articles
Managed Care
August 2001
GAO: Consultants Point Docs Toward Federal Law Violations The General Accounting Office has found that some health care consultants have been advising physicians to do things that conflict with federal laws and that may be unethical... mark for My Articles similar articles
American Family Physician
April 15, 2006
Liz Smith
Newsletter Medicaid Cost Sharing and Premiums May Reduce Physician Revenues... AMA Supports Amendment on Cuts to Medicare Physician Payments... Increase in Candidates Matched into Family Medicine Residencies... etc. mark for My Articles similar articles
Managed Care
July 2005
Martin Sipkoff
Is Pay for Performance Part of the Cure or the Problem? Paying for performance promises improved quality, reduced cost, and higher income for doctors. So why are some of them worried? mark for My Articles similar articles
Managed Care
November 2001
Medicare+Choice Problems Chasing Away 58 Health Plans Medicare+Choice, the program that was supposed to ease the elderly into managed care, is itself suffering from the uneasiness of HMOs dissatisfied with payment rates... mark for My Articles similar articles
Managed Care
November 2005
Frank Diamond
Physicians and Plans Can Get Along Hill Physicians Medical Group, one of the largest IPAs in the country, has learned to deliver what managed care plans want mark for My Articles similar articles