A simple break-even calculation turns a reimbursement advantage into staff minutes, showing practices when prior authorization, denials and uncollected patient balances wipe out a better rate.
|Articles|May 22, 2009
More states explore universal health coverage
While no other state besides Massachusetts has mandated individual health insurance for its residents, other states are considering action.
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While no other state besides Massachusetts has mandated individual health insurance for its residents, other states are considering action-though the economy is seen as a roadblock.
Last year, New Jersey Governor Jon Corzine signed legislation to establish a health insurance mandate for his residents that will begin with coverage of children this year and expand to include the entire population by 2011. California nearly adopted an individual mandate in 2007, but Governor Arnold Schwarzenegger vetoed the reform. Legislators in Alaska, Hawaii, Minnesota, and New York have also introduced mandated health insurance bills.
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Medical Economics spoke with health care attorney Tatiana Melnik, J.D., about vendor contracts, patient consent and the malpractice questions physicians could face next.
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The Illinois College of Osteopathic Medicine at The Chicago School welcomed its first class of 91 students in July, with mental health built into all four years of training. Medical Economics spoke with John Lucas, D.O., and Michele Nealon, Psy.D., about whole-person care, burnout and the stigma physicians face in seeking help.
CMS' proposed cuts to physician fees focus on the operating room. For the primary care physicians managing recovery after surgery, the real gap is much larger.
Health care was the only one of five sectors to cut spending commitments this spring, falling 2.8% as hospitals faced rising supply costs and physicians awaited the final 2027 Medicare fee schedule, Coupa's Business Spend Index found.
It's shared savings season and the check has arrived. Now how do physicians divide it up fairly?
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