Most Doctors’ Offices Don’t Offer Flexibility for Uninsured

Most physician offices don't offer up-front payment flexibility or low-income discounts to uninsured people, research in Health Affairs finds. For the study, trained auditors called primary care offices in 10 states, pretending to be uninsured patients and seeking appointments and payment arrangements. About 80% received appointments, provided they could pay the full cash amount. Fewer than one in seven callers received appointments for which they could make a payment arrangement. The average appointment price was $160.

Tue, 17 Apr 2018 BREAKING NEWS
ACA Marketplaces Expand Coverage for Chronically Ill

The Affordable Care Act’s Marketplaces covered a disproportionate share of non-elderly adults with high health care risks in the 2014 to 2015 time period, research in Health Affairs suggests. Researchers assessed use of private non-group health insurance through federal and state-based Marketplaces and found that over the study period, 45% of Marketplace enrollees aged 18 to 64 years were treated for chronic conditions, compared to 35% of non-Marketplace non-group enrollees and 38% of adults with employer-sponsored insurance.

Mon, 09 Apr 2018 BREAKING NEWS
Prior Authorization Negatively Impacts Clinical Outcomes

Ninety-two percent of doctors state that PA process delays access to care; burden up over past five years The burdens associated with prior authorization (PA) are high and include a negative impact on clinical outcomes, reported by 92 percent of physicians, according to the results of a survey conducted for the American Medical Association (AMA). … Continue reading Prior Authorization Negatively Impacts Clinical Outcomes

Tue, 20 Mar 2018 BREAKING NEWS
Markups for Oncology Services Vary at the Hospital Level

There is significant variation in markup of outpatient oncology services across hospitals in the U.S., research in the American Journal of Managed Care confirms. Researchers examined variation in price markup by hospital and oncology specialty using 2014 Medicare Part B physician reimbursement data for 3,248 hospitals from all 50 states. “Our findings contribute to emerging evidence that prestigious hospitals or large hospital chains use higher chargemaster pricing to ‘anchor’ negotiations and gain higher reimbursement from insurers,” the authors write.

Tue, 06 Mar 2018 BREAKING NEWS
How to Identify and Reduce Burnout in Your Practice

As defined by the Maslach Burnout Inventory, burnout has 3 pillars: Emotional exhaustion, depersonalization, and diminished sense of personal efficacy. Burnout can affect what we notice and don't notice, and can shift our attention to only negative information and cues.

Thu, 01 Mar 2018 BREAKING NEWS
Early Studies Often Show Exaggerated Treatment Effect

Trials to evaluate drugs or devices used to treat chronic medical conditions that are published early in the chain of evidence often show an exaggerated treatment effect compared with subsequent trials, an assessment in the Mayo Clinical Proceedings finds. Researchers assessed meta-analyses published between Jan. 1, 2007, and June 23, 2015 in the 10 general medical journals with highest impact factor to identify randomized controlled trials evaluating a drug or device in patients with chronic medical conditions.

Wed, 28 Feb 2018 BREAKING NEWS