Advocates for Evidence-Based Health Policy Speakers
Category: Payment Systems
Nobody Likes Surprises
A surprise medical bill is a bill a patient receives from an out-of-network provider after seeking care at a facility considered ‘in-network’ by their health insurance plan. In many cases, patients are unaware they are receiving care from an out-of-network Continue Reading …
Justifying the Charge Master
The price of health care in America is a complex and controversial topic. Many agree that we pay too much for the health care we receive but there is little agreement on what exactly should be done about it. A Continue Reading …
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 associated with a particular procedure. Continue Reading …
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. The major factors of physician satisfaction involve perceived obstacles to providing high-quality care such as unsupportive practice leadership or Continue Reading …
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 patients Continue Reading …
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