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For years, physicians have solely held the keys to health information, hoarding precious knowledge from patients because it make them feel powerful, says Daniel Sands, MD, MPH, FACP.

Medical societies are welcoming the Centers for Medicare and Medicaid Services’ (CMS) proposed rule for implementing the legislation that will change the way Medicare reimburses physicians.

Small, independent practices have dealt with no shortage of challenges in recent years: Complex regulatory requirements, increased payer scrutiny and more pressure on physicians to improve patient outcomes.

We already told you the top 12 secondary incomes for physicians, according to the latest edition of the Medical Economics Physician Report.But what about the rest of the financial state of primary care practices in the United States?

Time and again the medical marvels of exercise have been proven. But there’s still not much coaching going on in exam rooms. Only about 9% of doctor office visits include physical activity counseling.

Maintaining compliance with the rules and regulations that apply to medical practices can be a tall order, especially for small practices with limited resources.

Q:I received a letter from Medicare stating that I had more 99214s than my cohort of internal medicine providers, and that I needed to correct this in six months. I don’t believe that I’ve done anything wrong. How can they do this?

The Centers for Medicare & Medicaid Services’ (CMS) shift to alternative physician payments has been a bumpy one. But its newest model, the Next Generation Accountable Care Organization (ACO), aims to smooth the way for healthcare providers looking to make the leap to value-based payments.