Stark
The healthcare world is populated by scores of legal experts who strive to keep up with the sprawling compendium of statutes, regulations and legal advisories known collectively as the “Stark law.” But the law's father, Fortney “Pete” Stark, is not one of them.
Stark, in fact, says he would favor repealing the law as it currently exists and getting back to the law's initial intent.
Read more »
Wachter
Dr. Robert Wachter, a pioneer in the field of hospitalist medicine, has been elected to board of directors of IPC the Hospitalist Co., a North Hollywood, Calif.-based hospital medicine and physician group practice company operating in 28 states.
Wachter, a professor and associate chair at the University of California at San Francisco who just finished his term as chairman of the American Board of Internal Medicine, will chair the IPC board's quality committee.
Read more »
It's Christmas in July for Medicare-participating physicians—though the gift is far from being delivered. On Wednesday, the House Energy and Commerce Committee unanimously passed bipartisan legislation to repeal Medicare's sustainable growth-rate formula and replace it with a stable system of payments to the nation's physicians.
For years, Congress has waited until the end of the calendar year to stave off a steep Medicare payment cut to physicians with a temporary fix.
Read more »
The American Nurses Association wants the federal government to require insurers selling plans on state insurance exchanges to have at least a certain percentage of advanced practice registered nurses in their provider networks.
The ANA proposed the minimum level would be equal to 10% of the number of APRNs who independently bill Medicare Part B in a state.
Read more »
It's hard to get doctors to follow practice guidelines.
Despite the publication of numerous guidelines on the management of routine back pain, physicians surprisingly are not following the advice, and “guideline-discordant care” is on the rise, according to a study posted on the JAMA Internal Medicine website.
Read more »
A bipartisan House bill has been introduced that would require disclosure of Medicare payment information on individual physicians and other healthcare providers and suppliers, to enable the public to compare providers of services.
A companion bill has been pending in the Senate since June, and one Senate spokesperson says the final proposal may be added to the upcoming “doc fix” legislation to come later this year that would change how Medicare doctors are paid under the sustainable growth-rate formula.
Read more »
Eight out of 10 eligible hospitals and 58% of eligible physicians and other medical professionals have received payments totaling $15.5 billion under the federal electronic health record incentive payment program, according to the latest CMS data.
Through June, 4,024 hospitals have shared nearly $9.2 billion dollars to adopt, implement, upgrade and/or meaningfully use certified EHRs under the Medicaid and Medicare EHR incentive payment programs created by the American Recovery and Reinvestment Act of 2009.
Read more »
Doctors asked to assess options for reducing healthcare costs were not exactly enthusiastic about replacing the system that pays them based on the volume of tests, exams and procedures they perform.
Granted, cuts to Medicare physician pay proved even less popular among the nearly 3,000 doctors surveyed on their opinions for strategies to blunt the nation's high and rising healthcare costs. Just 1% of the polled physicians described their attitude toward this option as “very enthusiastic.”
Read more »
The American Medical Association has responded sharply to a July 20 Washington Post investigative article that found that the AMA/Specialty Society RVS Update Committee (RUC) has overvalued many procedures by overstating the amount of physicians' time required to perform them. Washington Monthly published a critical article about the RUC earlier this month, similarly charging that the RUC is essentially a secret cabal of specialty physicians that overvalues services and fixes prices.
The Post reporters counted the number of Medicare procedures that gastroenterologists, ophthalmologists, orthopedists and other specialists performed at surgery centers in Florida and Pennsylvania. They found that if the physicians had taken the amount of time estimated by the RUC to do each procedure, they would have had to work an average of more than 12 hours a day, when the surgery centers typically were open only 10 hours.
Read more »
Mobile computing devices are becoming almost as much of an essential tool in U.S. physician practices as the exam table, according to a new survey.
Nearly 80% of 300 U.S. practicing physicians in primary care, family and internal medicine that were sampled and surveyed in April said they were using a smartphone in their “day-to-day practice.” Another 61% were using mobile tablets.
Read more »
Simply extending office hours may not be enough for pediatricians to persuade patients to come to them rather than to retail clinics, according to a new study posted on the JAMA Pediatrics website. It found that almost half of children's visits to in-store healthcare facilities occur when pediatric offices are likely to be open.
The survey conducted by researchers at the Washington University School of Medicine found that when parents took their children to a retail clinic, 47% of the reported visits occurred between 8 a.m. and 4 p.m. on weekdays or between 8 a.m. and noon on Saturdays.
Read more »
