Category: Newsletter

WASHINGTON —Ending years of last-minute fixes, President Barack Obama on Thursday signed legislation permanently changing how Medicare pays doctors, a rare bipartisan achievement by Democrats and Republicans.The bill overhauls a 1997 law that aimed to slow Medicare’s growth by limiting reimbursements to doctors.

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These days it’s not just kids who are scared of the doctor: According to a recent Gallup poll, 33% of people say they’ve put off medical treatment because of the price, the highest level in the 14-year historyof the poll. And it’s not only the uninsured who are concerned: 34% of those with private insurance say they are skipping care.

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Attending physicians reported losing an average of 48 minutes of free time per clinic day due to EMRs, according to a research letter inJAMA Internal Medicine.The American College of Physicians administered a survey to internists providing ambulatory care regarding how EMRs affect their time budgeting. Final survey results considered 411 respondents.

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Did you know that patients with traditional Medicare can contact their insurance to have them forward their claim directly to the patient’s secondary insurance carrier? This is a great advantage to all providers because it reduces the time between when Medicare pays and when the patient’s secondary insurance pays on the balance.

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The United States Senate has joined the House of Representatives and passed legislation to prevent a 24% cut in physician fee schedule payments from occurring tomorrow (4/1) as previously scheduled. Instead, Medicare physician fee schedule payments will continue to be paid as they have been for the past 3 months. Although the legislation must be signed by the President in order to become effective, the President has indicated that he will sign this legislation once it reaches his desk.

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At one time in America, there was no such thing as “health insurance.” Patients negotiated directly with hospitals and doctors, and paid what they could, often on a sliding scale, according to ability. Eventually, health insurance entered the market, easing the burden of healthcare costs. It didn’t take long to realize the ordinary rules of supply and demand would not apply, if the insurance company, not the patient, was responsible for the bill.

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Healthcare.gov has gone live, bringing the Health Insurance Marketplace to the fingertips of millions of Americans. This Marketplace, also known as “The Exchange,” is intended to help bring access to care for the uninsured. As it is still in the early stages of implementation the impact on physician practices is not yet known. What is known is that it is believed that more patients will have access to care than before.

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