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Cheating the system

The controversial practice of using electronic health record (EHR) systems to “upcode” Medicare claims has attracted the attention of policymakers and triggered targeted audits by the Department [...]

October 20, 2014 // 0 Comments

ER Closures & Mortality at Nearby Hospitals

There has been an increase in demand for emergency care in the U.S., yet access to emergency rooms is diminishing. From 1996 to 2009, annual visits to Emergency Departments (EDs) increased by 51% [...]

October 10, 2014 // 0 Comments

Bundled payment experiment fails

As stakeholders implement the Affordable Care Act (ACA), innovative payment models are developing faster than practical applications. Bundled payments, defined as “a fixed payment that covers the [...]

October 6, 2014 // 0 Comments

The Patient-Centered Medical Home

In a 2014 article published in Health Services Research, researchers compared health care utilization and payments between the National Committee for Quality Assurance (NCQA) recognized [...]

September 28, 2014 // 0 Comments

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