All Articles In 'Physicians'
Health Care Spending and Hypertension: The Cost of High Blood Pressure
Hypertension, or high blood pressure, is related to several major chronic diseases. Obesity and diabetes raise your chance of developing high blood pressure, which in turn makes you more likely to suffer from heart disease and [...]
Medicare Hospital Payment: MedPAC Recommends One Percent Rate Increase for FY 2014
Hospitals face another year of tight Medicare reimbursement, with rates for FY 2014 falling farther behind cost increases and margins declining as a result. Most hospitals already lose money on caring for Medicare and Medicaid patients. [...]
Medicare Physician Sustainable Growth Rate: Repealing SGR
For over a decade, the sustainable growth rate (SGR) has been a source of financial worry for physicians who serve Medicare patients. Medicare’s physician payment rate is based on a composite measure of the cost of [...]
Dual Eligibles and Medicare Cost Sharing: State Medicaid Payment of Medicare Premiums, Deductibles, and Co-Payments
State Medicaid programs will spend about $175 billion this year on health care for dual eligibles – low-income seniors and persons with disabilities who receive benefits from both Medicare and Medicaid. State spending on dual eligibles [...]
Chronic Care Management: CMS Multiple Chronic Conditions Dashboard
Many new care models in both the public and private sector focus on people with chronic diseases, particularly conditions like diabetes, congestive heart failure, and hypertension. The Veterans Health Administration (VHA) Care Coordination/Home Telehealth (CCHT) pilot program [...]
Women’s Health Spending: Expenditures on Common Conditions for Young Women
One of the most talked-about aspects of the Affordable Care Act (ACA) is how it will affect women’s health care. The biggest After 2014, health plans will no longer be allowed to charge different premiums based [...]
Patient Engagement to Lower Health Costs and Improve Outcomes
It’s not uncommon for a patient to be confused or overwhelmed by a diagnosis or treatment plan. Complicated medical procedures or decisions can overwhelm patients to the point that they feel that they cannot, or should [...]
Chronic Care Management: Technologies to Better Manage Chronic Conditions
The nation’s largest health care buyers – Medicare, state Medicaid programs, large employers, and health plans – are eager for ways to improve the quality and efficiency of chronic health conditions, which drive the bulk of [...]
Physician Payment Reform: Preparing for Value-Based Reimbursement
Primary care is shifting to payment based on providing higher quality, lower cost health care. New payment models – such as patient-centered medical homes (PCMH) – replace or supplement traditional fee-for-service payments with per-member per-month payments, [...]
Four Payment Reform Models of Keen Interest to Large Employers
While the Affordable Care Act is expected to shift more of health coverage from the private employers to taxpayers, the most common source of health insurance for Americans is still though an employer or the employer [...]
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