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Congress must repeal the sustainable growth rate formula to stabilize Medicare physician payments, and CMS needs to adopt a series of strategies that would strengthen the Medicare program by enhancing the role of primary care physicians, said the American Academy of Family Physicians in a recent letter to CMS.
The proliferation of mobile medical devices means providers, payers and even patients are collecting more data than ever before. But do they know what to do with it?
Hays Green, healthcare policy practice lead at WPC, a Nashville-based company that provides consulting solutions, has outlined five preparatory actions that providers can kickstart today to create a solid infrastructure to achieve long-term ACO goals. "These steps can help organizations enter the commercial realm of accountable care models on level footing," Green said.
A notably picky species, American consumers have varying preferences for communicating with their health insurers and receiving their bills, a new study found, which means there's a lot of potential for consumer engagement.
In the Federal Register in 2000, the Office of Inspector General (OIG) Compliance Program for Individual and Small Group Physician Practices identified monitoring and auditing as one of the seven components that provide a solid basis for an effective compliance plan. And with an increase in regulatory and payer audit activity seeking to identify improper payments, it's wise for proactive physician practices to implement processes that will ensure proper compliance.
A new survey from tax audit and advisory firm KPMG shows wide ranging uncertainty among health plan, provider and pharmaceutical executives as to whether the existing business models are sustainable, despite the common belief that the broader healthcare economy is unsustainable in its current form.
Long-term care pharmacy provider, Omnicare, may have reached a settlement in a whistle-blower lawsuit brought against the company five years ago.
An ICD-10 expert discusses the new ICD-10 deadline with a focus on where healthcare organizations should be today in order to be ready on time.
A newly released report documents the successes of a private hospitals program to safely discharge homeless patients and save money for the participating hospitals.
A corner of the healthcare industry publicly asked the Department of Health and Human Services (HHS) to consider jumping directly to ICD-11. Here's a look at the reasons why this option was not selected by HHS.