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Readiness for ICD-10 depends on the type and size of an organization. While the majority of hospitals have trained their staff, less than half of physicians practices have completed their training. Learn about what still needs to be done before the October deadline.

The move to value-based payment models means that physicians will soon, in some form or another, assume more financial risk for the outcomes of their patients. That means physicians need to begin exploring their options now to ensure their practices are ready and protected when they make the leap.

The fight against the pressures facing independent primary care practices can take many forms. For some, it has meant joining forces with other practices to attain the benefits that come with size without sacrificing their day-to-day autonomy. Others are taking a different route-minimizing the bureaucratic obstacles to practicing medicine by adopting direct pay practice models.

Hospitals, physicians and other healthcare providers receiving financial assistance from the U.S. Department of Health and Human Services (HHS) must be mindful of their obligation not to discriminate against patients having a limited ability to communicate in English. That’s why your practice needs to develop protocols and procedures to find what works best.

Owning a primary care practice has rarely-if ever-been more challenging than it is today. Fortunately, it doesn’t have to be that way. In this and the following issue of Medical Economics, we present physicians and practices that are beating the odds by fighting back. They are overcoming the obstacles to success and practicing medicine the way they want to. We hope their examples inspire you to fight back too.

As more physicians consider whether transitioning to a patient-centered medical home model is right for their practice, experts weigh in on the benefits-and challenges-of making it official.

With less than three months remaining until the conversion to the ICD-10 coding system, your planning should be well under way. Whether you are at the early stages or in the home stretch, here are some strategies to be prepared.

With demands of the ICD-10 crossover, Meaningful Use requirements and increasing financial stress on the private practice, the relationship with an EHR vendor can be complex one and so is the rationale for making a switch.

Mobile health (mHealth) is a confusing landscape, to be sure. IMS Health, which rates mHealth apps and provides a formal mechanism for app prescribing, estimates there are 63,000 health apps in the Apple and Google stores. The number and variety make it difficult for physicians to find and recommend the good ones. As a result, prescribing mHealth apps is new to most physicians.

Narrowing networks

The return of narrow networks has been blamed largely on the Affordable Care Act (ACA). But the trend, similar to health maintenance organizations, re-appeared before the creation of the ACA’s health insurance exchanges. Physicians must learn how to cope with this movement and decide when it makes financial sense to be included in narrow network plans.

The obstacles facing practicing physicians are numerous, but can be overcome with the help of great ideas put into action effectively. In order to foster the sharing of new ideas among physicians, Medical Economics introduces Practice Innovators, an ongoing, periodic series spotlighting your colleagues who are breaking new ground in medical practice-and succeeding.