News
Proposed Payment Raise to Health Insurers May be Beneficial
February 25, 2016
NEW YORK (Reuters) - The U.S.
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News
Strategies for Success in Risk-Based Payment Models
February 2, 2016
Risk-based payment models are becoming increasingly common in healthcare.
News
Family Physicians Propose Payment for PCPs’ Hospital Consult Visits
September 8, 2015
The American Academy of Family Physicians (AAFP) has appealed to some of the nation's largest insurers, asking for coverage of hospital consults conducted by PCPs on behalf of hospitalists for their patients who are in the hospital.
"We believe that there is value in paying primary care physician
News
Medicare Payments to Physicians Rise in 2013
June 19, 2015
Medicare, the government-run health insurance program for elderly and disabled Americans, paid physicians $90 billion in 2013, up 17% from $77 billion in 2012, U.S.
News
Medicare Nonpayment for Hospital-Acquired Conditions May Have Reduced Infection Rates
- Cedars-Sinai;
- Inpatient Specialty Program;
- Los Angeles;
- William J. Collins, MD
June 8, 2015
Clinical question: What was the effect of the Centers for Medicare and Medicaid Services’ (CMS) nonpayment for hospital-acquired conditions?
Background: In 2008, CMS implemented the Hospital-Acquired Conditions (HAC) initiative, denying incremental payment to hospitals for complications of hospit
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Opinion
Bundled Payment and Hospital Medicine, Pt. 2
- Winthrop Whitcomb, MD, MHM
June 8, 2015
Editor’s note: Second in a two-part series examining bundled payments and hospital medicine. In full disclosure, Dr.
News
$167 billion: hospital payments forfeited for choosing not to expand Medicaid
December 3, 2014
$167 billion: Amount of federal Medicaid reimbursement payments that hospitals will forego between 2013 and 2022 in states that have opted not to expand their state programs under the 2010 Affordable Care Act.
For every $1 a state spends on expanding Medicaid, $13.41 in federal funding flows into
News
CMS Puts Hospitalists in Holding Pattern Regarding Physician Payment Transparency
March 6, 2014
Medicare to weigh requests for reimbursement data on case-by-case basis
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News
How Will New Physician Value-Based Payment Modifier Affect Medicare Reimbursements?
March 1, 2014
Program will have hospitalists identify appropriate metrics, patient attribution
News
Physician Value-Based Payment Modifier To Make Changes for Hospitalists
March 1, 2014
Shift in reimbursement toward quality of care expected to encourage comparison of costs charged by physicians, other hospital medicine groups to same Medicare patients