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Doctors argue for more flexibility on MACRA changes

By Shannon Muchmore  |  April 19, 2016

Physicians told lawmakers Tuesday they're eager to adopt value-based payment models under the Medicare Access and CHIP Reauthorization Act but also warned the transition will be difficult and disruptive to patients.

Dr. Benjamin's successful advocacy targets population health

Dr. Benjamin's successful advocacy targets population health

By Steven Ross Johnson  |  April 16, 2016

It's been nearly three years since former U.S. Surgeon General Dr. Regina Benjamin stepped away from the public eye as the nation's top doctor. As the driving force behind the creation of the White House's National Prevention Strategy, she worked to reduce preventable illness as a means of...

SCOTUS to hear biggest False Claims Act case in more than 30 years

SCOTUS to hear biggest False Claims Act case in more than 30 years

By Lisa Schencker  |  April 16, 2016

The Supreme Court this week will hear arguments in a case that will affect the number of fraud cases against providers. The case, Universal Health Services v. United States ex. rel. Escobar, focuses on the validity of a legal theory now used to bring many False Claims Act cases against providers...

Hospitals discover their inner venture capitalist

Hospitals discover their inner venture capitalist

By Beth Kutscher  |  April 09, 2016

The number of healthcare systems setting up venture capital arms has exploded as they seek commercial success and technologies to help solve their business problems.

Editorial: Abortion safety as subterfuge sets a dangerous precedent

Editorial: Abortion safety as subterfuge sets a dangerous precedent

By Merrill Goozner  |  February 27, 2016

Texas' legislative effort to restrict abortion providers, to be reviewed this week by the U.S. Supreme Court in Whole Woman's Health v. Hellerstedt, has troubling economic implications for healthcare providers that go well beyond abortion. It's worth reviewing some of the issues raised by the case.

Expanded scope: Nurse practitioners making inroads

Expanded scope: Nurse practitioners making inroads

By Virgil Dickson  |  February 20, 2016

A growing number of states are giving advanced practice nurses more leeway to practice primary care. Still, state and national medical societies continue to oppose nurse practitioners gaining broader practice authority.

Lowering the barriers to primary care

Lowering the barriers to primary care

By Merrill Goozner  |  February 20, 2016

Though the nation still faces a shortage of primary-care physicians, regulatory and payment roadblocks to delivering that basic service in less expensive ways are finally starting to come down.

Behind Medicaid's move to pay psychiatric hospitals

Behind Medicaid's move to pay psychiatric hospitals

By Melanie Evans  |  February 13, 2016

Medicaid, the nation's largest payer for behavioral health, is on the cusp of allowing stand-alone psychiatric hospitals into its provider networks for the first time. The change, expected to be finalized in April, should introduce new capacity and competition in the acute-care psychiatric market.

The iatrogenic roots of the opioid epidemic

The iatrogenic roots of the opioid epidemic

By Merrill Goozner  |  February 13, 2016

The opioid abuse epidemic has become a major issue on the campaign trail because the number of people who die each year from opioid overdoses is approaching 30,000. But it's important to note that nearly two-thirds of those deaths are due to overdoses of prescription opioids, not heroin.

The new basic training for next gen physicians

The new basic training for next gen physicians

By Michael Sandler  |  January 30, 2016

A growing number of medical schools in the U.S. are immersing students in the nitty-gritty of direct patient contact and care from the start of their training. The schools' aim is to produce physicians who are more in tune with team-based and patient-centered care.

Providers struggle on CMS quality measures

By Melanie Evans  |  December 12, 2015

Last week, healthcare providers got more big doses of the Obama administration's prescription for improving quality by tying Medicare payments to performance. It still isn't going down easy.

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