Medicare's accelerating move to bundled payments for episodes of care will drive hospitals and physicians to pay more attention to what happens to patients after they leave.
A new mandatory program would make hospitals in 98 markets financially accountable for the cost and quality of all care associated with bypass surgery and heart attacks. It would also add new procedures to the hip and knee pilot launched this year.
Doctors and hospital leaders are skeptical of the "July effect," the term describing the mass arrival of new medical graduates that allegedly leads to more medical errors, lower quality of care and even higher mortality rates. They're also working to make sure it isn't real.
Nearly 400 physicians at Hallmark Health System in Medford, Mass., have voted to join the physician network of Tufts Medical Center in Boston, leaving Partners HealthCare's physician organization after acquisition plans fell through.
The CMS is considering making tweaks to its controversial Open Payments policy to ensure accuracy of payment data posted by providers.
This is not a time for procrastinators as Medicare physician reimbursement undergoes its biggest change since its launch in 1965.
Physicians are increasingly selling their practices to larger groups to gain access to the capital and expertise needed to survive under value-based reimbursement.
"Tread carefully on measures of patient satisfaction” criticizes satisfaction surveys for focusing on trivia (“a hospital is not a hotel nor a theme park”); encouraging docs to prescribe inappropriate or harmful meds to earn good scores; and yielding subjective data that don't...
The single life may prove troublesome for specialty group practices under MACRA. David Fitzgerald, CEO of Proliance Surgeons in suburban Seattle, said specialty practices are in the dark about their fate under the new physician reimbursement system.
Dr. Joe Schlecht isn't afraid of MACRA, although he knows the design of the new Medicare payment system will be challenging for small practices like his. “Most primary-care physicians are still practicing like they did 10 years ago. They don't even know how to spell MACRA,” he said.
More than a dozen Florida doctors and provider groups will seek nearly $350 million from integrated system Health First for allegedly violating antitrust law in a trial scheduled to begin next month.
Roughly 100 national and state medical societies are backing a bill that would exempt drug and device makers from have to report payments made to doctors for participating in continuing medical education or receiving textbooks, journals and educational materials related to CME.