Starting next year, the Affordable Care Act sets maximum limits on how much consumers can be required to pay out-of-pocket annually for their medical care. But some people with high drug costs may find the limits don't protect them yet. That's because the federal government is giving some health plans extra time to comply with the rules.
A letter to House Energy and Commerce Committee Chairman Fred Upton and Ranking Member Henry Waxman provides recommendations on questions that the committee raised on the proposed legislation, which would stabilize physician payment rates under the current system while setting up a move to new payment models. A second phase would then transition away from fee-for-service and toward value-based models of payment with an update incentive program.
CareFirst, which covers 3.4 million individuals and groups in Maryland, the District of Columbia and Northern Virginia, said the results represent a savings of 2.7 percent on the total projected 2012 healthcare costs for PCMH-covered members and improve upon the 1.5 percent savings against projected costs registered by the program in 2011. Nearly 80 percent of all eligible primary care physicians in CareFirst physician networks participate in the program.
Healthcare fraud is not limited to the Medicare and Medicaid population, according to newly released research from Truven Health Analytics, which looked at insurance claims data for 11.6 million commercially insured individuals and their dependents at 150 large employers over a period of one year.
Doximity, a medical network based in San Mateo, Calif., has generated a flurry of activity over the past few months, including release of a new iPad app and a collaboration with U.S. News & World Report to publish a free online directory of more than 700,000 practicing U.S. physicians. CEO Jeff Tangney shared details of these developments -- and others -- in an interview with PhysBizTech.
The goal is to move beyond traditional measurements established by federal health programs -- often established by statute -- which have tended to be too setting-specific, according to leaders from the Centers for Medicare & Medicaid Services, the Office of the National Coordinator for Health IT and the Agency for Healthcare Research and Quality.
Over the last four years, the Obama administration has recovered nearly $15 billion in healthcare fraud judgments, settlements, and administrative impositions, according to the Centers for Medicare & Medicaid Services, which has revoked 14,663 providers and suppliers' ability to bill in the Medicare program since March 2011.
The Centers for Medicare & Medicaid Services announced on March 12 that its FAQ System contains three new and three updated entries pertaining to the agency's EHR Incentive Programs. Read on for the latest queries and click through to read the corresponding answers.
Cloud computing manages data, secures it and makes it available when and wherever needed -- but it is not without risks. Here are 5 things an organization should do before implementing systems that migrate protected health information and personally identifiable information into the cloud.
Gregory Lisiak and Lori Polzin, both representing Wisconsin's renowned Marshfield Clinic, put things in perspective for attendees at "Preparing a Multi-Specialty Group Practice for Stage 2 CPOE," an intermediate-level educational session at HIMSS13 on Tuesday. Their constituent physicians merely requested, "We want the system to read our minds."
PhysBizTech talked to three practices that have passed through the initial gauntlet of meaningful use (MU) attestation and discovered some common threads among those who have achieved success. In each case, meeting meaningful use meant putting in extra hours for physicians and staff, but they all agreed their EMR was "set up" to get them working in the right direction. Read on to learn from their stories.
The 2013 HIMSS Annual Conference and Exhibition, which starts March 3 and runs through March 7 in New Orleans, will be the place to get up to speed on the state of ICD-10 preparations, according to Carl Natale, editor of ICDWatch. He provided a day-by-day listing of suggestions for maximizing your educational opportunities while at the event.
Feb. 28 is the last day to complete attestation for participants in the 2012 Medicare EHR Incentive Program, according to the Centers for Medicare & Medicaid Services, which administers the program. That date is also the deadline for EPs to submit any pending Medicare Part B claims forms from calendar year 2012. And if you're participating in the electronic reporting pilot for clinical quality measures, you must submit CQMs electronically before midnight on Feb. 28.
A new interactive resource from the Centers for Medicare & Medicaid Services can help eligible professionals determine their progress along the path to achieving meaningful use of certified EHR technology.
One part of forward movement on interoperability will be to transition from what is traditionally a gross, subjective and qualitative assessment of its state to a fine-grained, objective and quantitative one.
Social media is a healthcare Catch-22, but perhaps it can be made more concise if approached on a different foot. That foot? A training module for all tweets, memes, gifs, posts and any other expressive goofs.
Some people are wondering if vendors are responsible for slowing down the rate of HIT adoption -- claiming that vendors do not benefit from enabling their unique systems to "work well" with others so they are not focusing on enhancing these necessary interoperability capabilities. I disagree.
Today's electronic health record systems empowered with clinical information exchange capabilities are well suited to facilitate electronic lab ordering and results distribution in a less support-intensive, more cost-effective and accurate manner.