Medical Groups: Page 44
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California surprise billing law disrupted contract negotiations, stakeholders say
The 2017 law was also perceived to have driven further provider consolidation in response to the leverage shift, according to research published in The American Journal of Managed Care.
By Shannon Muchmore • Aug. 7, 2019 -
Few patients price shop before planned hospital visit, survey finds
As CMS and lawmakers push for price transparency, the survey from a revenue cycle management software vendor suggests consumers may not know how to evaluate different options based on price, or even be aware that prices vary.
By Linda Wilson • Aug. 7, 2019 -
Explore the Trendline➔
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TrendlineProvider burnout
Hospitals are still struggling with provider burnout, after the COVID-19 pandemic exacerbated underlying staffing issues and prompted workers to quit their jobs.
By Healthcare Dive staff -
CVS expands at-home drug delivery program nationwide
The paid membership program is notably similar to Amazon's Prime membership as the two retail giants compete in emerging healthcare markets.
By Daphne Howland • Aug. 5, 2019 -
Anthem again irks docs with latest changes to reimbursement
"It is a nuisance. It makes absolutely no sense," dermatologist George Hruza said of the policy denying payment for certain follow-up office visits the same day a procedure is performed.
By Samantha Liss • Aug. 2, 2019 -
FCC revamps telecomm program for rural healthcare providers
The agency simplified how funding is distributed to favor providers if the area they serve is particularly rural or medically underserved.
By Ron Shinkman • Aug. 2, 2019 -
CMS pilot to give docs direct access to Medicare claims data
The agency hopes to eventually roll out the initiative to all Medicare fee-for-service providers, giving doctors Medicare claims data for their patients, including prescribed medications, procedures, diagnoses and other providers.
By David Lim • July 30, 2019 -
Q&A
Intermountain spinoff Castell CEO: Providers need nudge en route to value-based care
Rajesh Shrestha spoke to Healthcare Dive about the newly created company, how it might generate revenue and potential partners.
By Shannon Muchmore • July 29, 2019 -
Despite some headwinds, healthcare deal volume remains robust
The value of the deals was also on the rise: over 10% higher than the average of the preceding seven quarters, according to a new report from PwC.
By Ron Shinkman • July 26, 2019 -
Private equity gobbles up dermatology practices, raising questions about outcomes, costs
An analysis in JAMA Dermatology attempts to illustrate the growth of such PE-backed acquisitions and the spread geographically over time.
By Samantha Liss • July 24, 2019 -
Even $10 increase in Medicaid payments helps erase disparities in care access, study says
Financial incentives influence who a physician decides to treat and their patients' overall health, the National Bureau of Economic Research found.
By Samantha Liss • July 23, 2019 -
CVS to test knee replacement program for Aetna beneficiaries
The pilot is the first of a series of broad initiatives the merged health giant is working on, CVS CEO Larry Merlo announced Tuesday at a Medicare Advantage conference.
By Rebecca Pifer Parduhn • July 23, 2019 -
ACOs with 2-sided risk can cut cost, improve quality, study finds
A Blue Cross Blue Shield of Massachusetts population health program cut per-enrollee spending and resulted in more chronic disease management, according to research in the New England Journal of Medicine.
By Ron Shinkman • July 22, 2019 -
Medical practice groups saw better margins in 2018
Total profit per physician in independent practice associations rose to $2,510 per doctor last year, up from $2,396, according to AMGA Consulting's annual physician group survey.
By Ron Shinkman • July 19, 2019 -
State telehealth use climbing, but barriers to broader adoption remain
North Carolina, Ohio and Montana have distance restrictions on virtual care services, a sign of varying policies among states, according to a new report from a large telehealth trade group.
By Dana Elfin • July 19, 2019 -
Provider M&A revenue volume at highest levels since 2017
Health systems saw $11.3 billion in revenue from deal transactions during the period, the second highest on record, a Kaufman Hall report found. At the same time, the total number of deals fell.
By Rebecca Pifer Parduhn • July 18, 2019 -
Spending on primary care paltry, but some states ramping up
Increasing spending on primary care lowers emergency department visits and hospitalizations, according to the Patient Centered Primary Care Collaborative's 2019 Evidence Report, but America isn't funding it.
By Rebecca Pifer Parduhn • July 17, 2019 -
Participation in APMs, MIPS climbed significantly in 2018
Many physicians have rejected the programs, saying they contain too many rules and rely too much on expensive investments in EHRs.
By Ron Shinkman • July 15, 2019 -
Trump executive order seeks to overhaul US kidney care
The government push for home dialysis will help major payers like UnitedHealth Group, Cigna, Anthem and Humana and interested companies like CVS Health move into the space.
By Rebecca Pifer Parduhn • Updated July 10, 2019 -
Yujin Kim/Healthcare Dive
Amazon momentum in medical supply chain slows, poll finds
A UBS survey of hospital purchasing managers found providers are allocating a smaller percentage of such purchases to the retail giant this year.
By Rebecca Pifer Parduhn • July 9, 2019 -
Healthcare Dive's 10 biggest stories of the spring
From Amazon pushing into the prescription delivery sector to CVS-Aetna struggling to finalize their merger settlement agreement, read the top stories from the first half of the year.
By Rebecca Pifer Parduhn • July 8, 2019 -
ACOs may need stronger financial incentives, like downside risk, to succeed
The proportion of ACOs taking downside risk has inched up in recent years but still represents a minority, a study published in Health Affairs found.
By Rebecca Pifer Parduhn • July 3, 2019 -
Brian Tucker/Healthcare Dive
Deep DiveCould NEMT's pivot to the commercial sector be a wrong turn?
Employers and commercial plans are increasingly looking to partner with players like Uber and Lyft for non-emergency medical transportation, raising thorny questions about the return on investment in a healthier population.
By Rebecca Pifer Parduhn • July 2, 2019 -
Majority of patients faced out-of-pocket expense of $500 or more last year
Out-of-pocket costs are increasing even as patients shift to less expensive care settings, according to a new report from TransUnion Healthcare.
By Samantha Liss • June 26, 2019 -
Deep Dive
Hospital price transparency push draws industry ire, but effects likely limited
While few would argue for secrecy for its own sake, policy analysts say there's little evidence patients use the information now available to make decisions that could bend the cost curve.
By Shannon Muchmore • June 25, 2019 -
Civica Rx contracts with Vizient to anticipate drug price, availability
Vizient will analyze purchasing patterns and hospital needs through its data and analytic offerings to help ease generic drug shortages for Civica's 900-plus member hospitals.
By Rebecca Pifer Parduhn • June 18, 2019
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