Thursday, June 19, 2014

Points of Interest - 06/19/2014








Points of Interest

June 19, 2014

 
Should physicians work for hospitals?

A physician I have known for many years recently told me about his decision to enter the world of concierge medicine. His reasoning was telling, saying that it came down to a very simple decision on staying independent or becoming a hospital employee. He liked being an independent solo practitioner, and that was his primary motivation: to maintain independence in a time of consolidation.

Richard Gunderman, writing for the Atlantic, tackled this question head on in a recent piece titled, Should Doctors Work for Hospitals?” The article reflects on the dramatic shift in physicians either seeking or being forced by market pressures to join hospital systems as employees.

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Reasons why your wait time at the doctor’s office is so long

Here are some acceptable reasons why wait times are long:

      Ø  Scheduling

Ø  Emergencies

Ø  Too much time out of room for the doctors

Ø  Poor workflow in the office

Ø  Chronic overscheduling

What's an ACO?
Accountable Care Organizations (ACOs) are groups of doctors, hospitals, and other health care providers, who come together voluntarily to give coordinated high quality care to their Medicare patients.
The goal of coordinated care is to ensure that patients, especially the chronically ill, get the right care at the right time, while avoiding unnecessary duplication of services and preventing medical errors.

 When an ACO succeeds both in both delivering high-quality care and spending health care dollars more wisely, it will share in the savings it achieves for the Medicare program.

Breaking News

Catholic Health Initiatives, one of the largest U.S. health systems, is rapidly expanding its Medicare managed-care business with plans to enter markets in four states next year.


The Medicaid expansion underway across half the country holds the promise of fewer unpaid medical bills, bringing financial relief to hospitals as well as poor households. Now, early reports from providers suggest that might be the case.


State officials are scrambling to control the burden of Gilead's $1,000-a-pill hepatitis drug Sovaldi, particularly in states that have agreed to cap Medicaid spending under CMS waivers.

 UnitedHealth Group is continuing to eliminate doctors from its provider networks for Medicare Advantage plans in states across the country.

A mix of 21 physician associations and healthcare organizations signed on to a letter to congressional leaders seeking an extension of the Patient Protection and Affordable Care Act's two-year provision equalizing Medicaid and Medicare payments for primary-care services.

 

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