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Healthcare News

Thu, 17 Apr 2014 12:02:00 -0500

To say doctors are under tremendous pressure may be the understatement of the year. One key indicator to how well they are navigating the healthcare system is reimbursement.

Thu, 17 Apr 2014 11:52:00 -0500

Two Pennsylvania physicians share their experiences decoupling from Medicare. They've lost 12% of their patient population, but say they're providing more personalized care and the effects on their revenue and financial viability have been positive.

Wed, 16 Apr 2014 12:05:00 -0500

The American Hospital Association wants CMS to adjust measures in pay-for-performance programs to reflect factors such as race and income, even though doing so "would be a complex undertaking" for everyone involved.

Wed, 16 Apr 2014 11:56:00 -0500

Multispecialty medical practices with non-physician providers typically perform better financially than those without physician assistants and nurse practitioners, an MGMA report finds.

Tue, 15 Apr 2014 12:06:00 -0500

A federally backed drive to create a value-based healthcare delivery system in partnership with providers and payers is under way nationwide. Three years ago, an unprecedented financial crisis prompted Arkansas "to bet the farm" on a similar value-based healthcare model.

Tue, 15 Apr 2014 11:49:00 -0500

New players in healthcare are gaining a toehold with frustrated consumers who are "ready to abandon traditional care models for ones that echo experiences in banking, retail and entertainment," research from PwC's Health Research Institute indicates.

Mon, 14 Apr 2014 11:54:00 -0500

"The timelines and the pressures we're putting on the industry need some flexibility and sequencing so that people can be successful," says the CEO of CHIME. He and others are hopeful that Kathleen Sebelius's successor will listen to and understand the needs of the field.

Mon, 14 Apr 2014 11:47:00 -0500

While the latest delay of ICD-10 has created some confusion, the CEO of AHIMA says providers, payers, and other stakeholders are doing what they can to prepare staff. Those that can afford it will try to teach both ICD-10 and ICD-9.

Fri, 11 Apr 2014 12:32:00 -0500

A study stops short of identifying the optimal hospitalist-to-patient ratio, but "workload does have implications for efficiency of care," says the study's lead author.

Fri, 11 Apr 2014 12:09:00 -0500

Despite an official prediction that MA health plan payment rates will be essentially unchanged in 2015, Cigna, Aetna, and Humana expect payments to fall next year.

Fri, 11 Apr 2014 11:18:00 -0500

Health and Human Services Secretary Kathleen Sebelius is resigning after a five-year tenure of landmark achievements and technical fiascos. President Obama will nominate Sylvia Mathews Burwell, the director of the Office of Management and Budget, to replace her.

Thu, 10 Apr 2014 12:15:00 -0500

The federal Centers for Medicare & Medicaid Services released a potential treasure trove of 2012 Medicare physician claim information. The release, which makes the data public for the first time since 1979, is "a huge step to making the Medicare system more transparent," CMS says.

Thu, 10 Apr 2014 12:01:00 -0500

The American Medical Association says the public should exercise caution when interpreting the 2012 Medicare payment data for physicians, saying "the manner in which CMS is broadly releasing physician claims data, without context, can lead to inaccuracies, misinterpretations and false conclusions."

Wed, 09 Apr 2014 11:47:00 -0500

With the blessing of a federal judge, CMS is releasing Medicare data on physicians, including types of services, average submitted charges, and standard deviation in submitted charges.

Tue, 08 Apr 2014 18:38:00 -0500

Kaiser Permanente Northwest is one of several healthcare providers participating in an effort to roll out open access to clinician notes as a standard of care throughout the Pacific Northwest.

Tue, 08 Apr 2014 11:58:00 -0500

Federal officials unexpectedly announced a projected 0.4%  increase in the 2015 payment rate for Medicare Advantage health plans. A cut had been proposed in February.

Tue, 08 Apr 2014 11:39:00 -0500

Tenet, Community Health Systems, and Mercy Health have individually finalized separate deals to build, operate, and merge healthcare organizations from Pennsylvania to Florida.

Mon, 07 Apr 2014 12:00:00 -0500

Just over half of the 114 organizations to join one of two Medicare accountable care organization efforts in 2012 report no decrease in health spending below targets during their first 12 months.

Mon, 07 Apr 2014 11:47:00 -0500

The most significant change on tap to the ratings system is expected to be an increase in the star threshold for bonus payments to health plans, based on a wide array of quality standards.

Fri, 04 Apr 2014 12:25:00 -0500

Healthcare payers and providers are bracing for a payment rate cut to Medicare Advantage health plans next year. The 2015 rate is expected to be announced Monday by CMS.

Mon, 10 Mar 2014 22:04:15 -0500

With just over three weeks left to choose new coverage in the health law marketplaces, deciphering the complex system of subsidies remains a key challenge for many would-be insurance customers.

Fri, 28 Feb 2014 18:47:12 -0600

A WSJ reporter followed a group of families and scientists trying to accelerate the development of a drug to treat Niemann-Pick Type C disease, a rare and fatal cholesterol metabolism disorder known as NPC that strikes primarily children.

Wed, 26 Feb 2014 21:31:45 -0600

Health law overhaul is affecting millions of Americans. Readers write to the Wall Street Journal to answer the question, "How has the health law affected you?"

Tue, 25 Feb 2014 16:18:21 -0600

On Tuesday, February 25 at 3:00 p.m. ET the Wall Street Journal's Anna Mathews will be joined by Karen Pollitz, a senior fellow at the Kaiser Family Foundation, Mike Stahl, senior vice president at HealthMarkets, and Adam Okun, senior vice president at Frenkel Benefits, to discuss the health law, what it means for consumers and employers, and answer reader questions.

Tue, 18 Feb 2014 23:27:25 -0600

This is a huge year for the law known as Obamacare. Tell us your story of how the health law has affected you.

Mon, 09 Dec 2013 20:08:45 -0600

Dr. Christopher Austin and the Journal's Health reporter Amy Dockser Marcus took questions about treatments for rare disease during a Reddit AMA.

Tue, 03 Dec 2013 14:35:50 -0600

For years, Christopher P. Austin has been trying to develop a way for science to build a better partnership with patients. Dr. Austin and the Journal’s Amy Dockser Marcus are answering questions now.

Fri, 06 Sep 2013 15:27:34 -0500

Sleep experts say napping done right is good for the brain and our work performance. But what’s the best way to grab some extra zzz’s during the day?

Wed, 12 Jun 2013 00:12:20 -0500

Physician pay accounts for about 20% of total health-care spending, and in many specialties it has increased much faster than inflation in recent years. Some critics say that’s because most doctors get paid for every service they perform, which creates an incentive to order unnecessary tests and hospitalize people who don’t need it. That critique is the basis for a push to tie physician pay to performance, evaluating doctors on how well they follow procedures for patient care and how well they score on patient satisfaction surveys, among other things. [wsj-poll name="20130611-200308-1747367582" category="topic" size="E"]

Tue, 04 Jun 2013 19:39:27 -0500

One of the big problems in the U.S. health-care system is the shortage of primary-care physicians, especially in rural areas. And the shortages may worsen as more patients seek care under the Affordable Care Act. One candidate to help fill that shortage: nurse practitioners. Nurse practitioners are trained to perform clinical care, including ordering lab work and X-rays, and are especially useful in assisting patients with chronic conditions such as diabetes and high blood pressure. About a third of states allow nurse practitioners to practice without the supervision of a physician, freeing up doctors to do more. Have you received medical care from nurse practitioners, and do you/would you have confidence in them? Vote and enter your comments, which may be excerpted in a coming Wall Street Journal special report. [wsj-poll name="20130604-153152-620572504" category="topic" size="E"]

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