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|August 7, 2009
State roundup: New Jersey unveils managed care contracting bill
Author(s)Morgan Lewis Jr.
A look at state legislation affecting primary care doctors.
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NEW JERSEY lawmakers introduced a managed care contracting bill in July that would require health plans to provide fee schedules to physicians, standardize contract forms, and mandate notice and written acceptance of any contract changes with no risk to physicians if they refuse the amendments.
WISCONSIN: The governor approved legislation in late June creating a patient-centered medical home pilot program for the state's Medicaid population. The pilot includes a still-undetermined monthly per-patient management fee in addition to Medicaid reimbursements.
MASSACHUSETTS: The commonwealth cut its healthcare budget by $168 million to help close a $5 billion gap in the overall budget.
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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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