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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. |
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. |
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. |
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. |
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. |
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 |
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. |
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? |
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. |
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. |
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. |
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. |
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. |
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. |
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. |
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? |
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. |
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. |
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. |
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%. |
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. |
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? |
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. |
BusinessWeek October 10, 2005 Howard Gleckman |
Medicare's Big Experiment The coming changes to Medicare aim to cut costs while improving care. Sound familiar? |
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. |
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. |
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. |
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... |
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. |
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. |
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. |
Financial Advisor June 2010 Andrew Gluck |
Advising Doctors As medical economics change for the worse, both physicians and their financial advisors are getting organized. |
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. |
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. |
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? |
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... |
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? |
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. |
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... |
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. |
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 |
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. |
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. |
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. |
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. |
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... |
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. |
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? |
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... |
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 |