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Payment Systems

Estimating Operating Room Time Improves Medicare Billing

Currently, physician fees for surgical services furnished to Medicare beneficiaries are largely governed by the resource-based relative value scale. Under this framework, relative value units (RVUs) are used to measure the physician time and effort [...]

May 9, 2016 // 0 Comments

Will direct primary care bring joy back to medicine

More than half of physicians report at least one symptom of burnout. This is much higher than in the general population. Source: Jeff Kubina (Flickr/CC) The major factors of physician satisfaction involve perceived obstacles to providing [...]

February 1, 2016 // 0 Comments

Docs Earn More with ACA, if State Participates

The Affordable Care Act is paying doctors more through Medicaid expansion. Payments to physicians for hospital stays increased by $3.38 (4.2%) per day. About half of the higher payments were due to better payer mix. This means that uninsured [...]

November 16, 2015 // 0 Comments

Expanding ACO’s Beyond Medicare

In 2012, the Center for Medicaid and Medicare Services (CMS) implemented a novel program in their efforts toward achieving the Triple Aim: Thirty-two organizations with experience in care coordination enrolled in the Medicare Pioneer accountable [...]

September 8, 2015 // 0 Comments

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