Insurers, providers and some of their lobbying groups have issued new recommendations that give payers a leading role in advancing price transparency in healthcare.
New Hampshire's attorney general will appeal a judge's ruling that the state's hospital tax, which brings in $185 million a year, is unconstitutional to the state Supreme Court, Boston.com reported.
Only months into Affordable Care Act implementation, one of the biggest remaining challenges for physician practices is understanding contracts with new health exchange plans, noted consultant Mary Pat Whaley in a recent Manage My Practice blog post.
The cost of specialty medications is expected to rise to $235 billion by 2018, providing many cost-related challenges to payers. To off-set these costs, health insurers can move prescription benefits from medical to pharmacy coverage, according to a new Milliman report commissioned by CVS Caremark.
Facing more competition from retail and urgent care centers than ever, doctors increasingly offer more diverse services not typically found in the traditional private practice, from cosmetic procedures to urgent care, according to an article from the News-Star.
Academic medical center leaders who serve on pharmaceutical company boards could create a conflict of interest or foster competition between institutional oversight responsibilities and individual clinical and research practices, according to an article published in the Journal of the American Medical Association.
Rampant professional burnout drives more doctors to sell their practices, slash their patient panels or retire early, according to an article from the Washington Post. The problem is particularly acute in primary care, where physicians manage patients' comprehensive needs, yet get as little as 11 minutes to spend with each of them.
Like many physicians who switched to cash practice, brothers Jonathan Izbicki, D.O. and Harry Izbicki, D.O., experience a rosy view of life without insurance hassles, U.S. News & World Report reported.
Healthcare spending grew at a 5.6 percent annual rate in the fourth quarter of 2013, according to the U.S. Department of Commerce's Bureau of Economic Analysis report. The growth, a 10-year high, is driven in large part by $8 billion more in hospital revenue, which was more than the prior four quarters combined, according to USA Today.
Healthcare providers face skyrocketing healthcare spending across the United States, funding cuts and dwindling Medicaid reimbursements--but leaders must focus on the social good their organizations can do rather than just making money, according an article in The Atlantic.