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Until recently, John Henry Foster, an equipment distribution firm based in Eagan, Minn., offered its employees only a couple of health plans to choose from. That’s common in companies across America. “They just presented what we got,”...
July 21, 2015 01:41 pm Michael Laff – A recent study that examined a medical home initiative in northeastern Pennsylvania revealed that with the appropriate blend of financial incentives and clear targets for success, the model can reduce...
Cardiologist Dr. Edward Fry recalls making one-sixth as much as top earners in his field when he began practicing medicine in 1990. Today, he says, beginning cardiologists typically start out earning as much as two-thirds the salary of a...
Accountable care organizations (ACOs) have exploded in popularity over the past three or four years as value-based reimbursement takes hold in the healthcare industry, and their work has rapidly built momentum towards bringing population...
On July 15, 2015, the Centers for Medicare & Medicaid Services (CMS) published its proposed rule to update the Medicare physician fee schedule (MPFS) for CY 2016 – the first rulemaking since the Medicare Access and CHIP Reauthorization...
Oregon’s Coordinated Care Organizations (CCOs) are a type of accountable care organization (ACO); these multi-sector partnerships accept upside and downside risk for both health care costs and quality metrics. And yet CCOs deviate from the...
A repeated refrain of politicians is that health care spending in the United States is utterly out of control. We spend almost $9,000 per person per year, amounting to nearly 17 percent of Gross Domestic Product (GDP), far more than any...
The pay gap between primary care physicians (PCP) and their specialist counterparts continues to close, thanks in part to the healthcare industry's shift toward value-based care, according to a new report from the Medical Group Management...
In the first update to the Medicare physician fee schedule (PFS) since the sustainable growth rate (SGR) formula was repealed in April, CMS has unveiled its proposed rule for implementing some of its major changes to the industry’s...
TACOMA, Wash. — One night, when her face turned puffy and painful from what she thought was a sinus infection, Jessica DeVisser briefly considered going to an urgent care clinic, but then decided to try something “kind of sci-fi.” She sat...
The Centers for Medicare &Medicaid Services (CMS), in its physician fee proposal for 2016, seeks public input on several provisions of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). This is the new law that replaces...
WASHINGTON — By the standards of the modern Congress, Representatives Fred Upton, Republican of Michigan, and Diana DeGette, Democrat of Colorado, have no business writing health care legislation together. Mr. Upton, the buttoned-up...
Montana’s blueprint for expanding Medicaid on terms that are palatable to the fragile bipartisan legislative majority that passed an expansion law earlier this year has been released for public comment before it is formally submitted to...
When it comes to requiring healthcare prices to be made public, only five states adequately make the information transparent to consumers. The third annual report from the Health Care Incentives Improvement Institute and Catalyst for...
Patients who are treated by the same primary care doctor on a regular basis go to the emergency room and are hospitalized less frequently than those who bounce between multiple providers, according to new research by the UCLA Center for...
In a draft of Medicare's first physician payment rule since Congress scrapped the sustainable growth-rate formula, the CMS proposes paying for end-of-life counseling and revises several quality-incentive programs that will be rolled into a...
“Today’s release of the proposed 2016 Medicare Physician Fee Schedule marks the beginning of health security for millions of elderly and disabled Americans who depend on Medicare. It’s the first time in more than a decade that federal law...
Convincing the nation's most vulnerable citizens to avoid costly emergency department visits is proving harder than expected. A new study from the University of Iowa found improving access to affordable primary care reduced preventable...
As states look at how to provide high-quality, affordable care to Medicaid beneficiaries, more are turning to Medicaid managed care for the care coordination and support Medicaid health plans provide for millions. Nearly two-thirds of all...
After a dozen years of flat funding, the National Institutes of Health has become a top target on Capitol Hill — not for less money but more, potentially billions more by 2020. It’s a remarkable turnaround for the huge medical research...

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