Practice Economics

  • Foreign doctors may lose U.S. jobs after visa program suspension

    on March 24th, 2017
    While much of the drama surrounding the Trump administration’s immigration policy has centered on the so-called travel ban, changes to a specialized visa program may have a bigger impact on foreign doctors in the United States and the employers who hope to hire them. Starting April 3, U.S. Citizen[...]
  • OpenNotes: Patient engagement with low physician hassle

    on March 24th, 2017
    AT HIMSS 2017 ORLANDO (FRONTLINE MEDICAL NEWS) – Early evidence suggests that OpenNotes is helping to engage patients and improve health outcomes while not creating undue burden for physicians. A 2010 pilot project atBeth Israel Deaconess Medical Center in Boston, Geisinger Health System in Pennsy[...]
  • Match Day: Surgery positions up, other specialties grew more

    on March 23rd, 2017
    Despite a record number of applicants and slots filled for first-year residents on the 2017 Match Day, growth in all surgery positions continued to be outpaced by growth in other specialties. “While it is encouraging to see that the number of categorical surgery positions offered has increased by [...]
  • CMS delays start of cardiac pay bundles

    on March 22nd, 2017
    The Centers for Medicare & Medicaid Services is delaying the start of three cardiac payment bundles finalized at the end of 2016. The bundles include the Acute Myocardial Infarction (AMI) model, the Coronary Artery Bypass Graft (CABG) model, and the Cardiac Rehabilitation Incentive Payment model[...]
  • Loss of global periods could mean $1 billion loss for dermatologists

    on March 22nd, 2017
    Failing to report on global period codes this year could lead to payment changes that would cost dermatologists a collective $1 billion. Presently, surgical procedures and follow-up visits are paid by Medicare as a single bundled payment, with the expectation that the follow-ups will occur within a [...]
  • Update on malpractice trends

    on March 21st, 2017
    Question: Recent developments in malpractice include the following: A. Severity and frequency rates continue to rise. B. Apology laws appear to be very effective in reducing claims. C. Litigation surrounds whether an assistant may obtain a patient’s informed consent on behalf of the doctor. D. A a[...]
  • Resident Match Day 2017: Record number of applicants and matches

    on March 17th, 2017
    Once again, a record was set for both the number of slots available for residency programs and the number of positions filled during the 2017 Main Residency Match. This is the fifth straight year the National Resident Matching Program (NRMP) has reported growth, with 35,969 applicants submitting the[...]
  • Contract negotiations

    on March 17th, 2017
    As more and more physicians, both young and experienced, choose to merge with larger practices or join multispecialty groups, I am getting numerous questions about the contracts they are being asked to sign. Obviously, every circumstance will be unique; but some common issues and avoidable mistakes [...]
  • Trump administration floats 18% budget cut to HHS

    on March 16th, 2017
    The Department of Health & Human Services would see an 18% funding cut under the first budget proposal from the Trump administration. The proposal , submitted to Congress March 16, would cut $15.1 billion from fiscal 2017 levels, funding the agency at $69 billion for fiscal year 2018. More than [...]
  • More pushback from docs after CBO scores GOP health care plan

    on March 14th, 2017
    Physician groups continue to push back against a Republican plan to repeal and replace the Affordable Care Act following a Congressional Budget Office analysis that showed up to 24 million patients would not be insured under the plan. According to the CBO analysis , 14 million more patients would be[...]
  • CF patients live longer in Canada than in U.S.

    on March 14th, 2017
    FROM ANNALS OF INTERNAL MEDICINE People with cystic fibrosis (CF) survive an average of 10 years longer if they live in Canada than if they live in the United States, according to a report published online March 14 in Annals of Internal Medicine. Differences between the two nations’ health care sy[...]
  • GOP health plan clears first hurdle as opposition lines up

    on March 9th, 2017
    The Republican plan to replace the Affordable Care Act cleared the first legislative hurdle when two house committees passed language that would repeal revenue provisions of the Affordable Care Act and lay the foundation for replacing the health care reform law. The House Ways and Means Committee–[...]
  • Two boys, a dog, and our electronic health records

    on March 8th, 2017
    “Speak clearly, if you speak at all; carve every word before you let it fall.” – Oliver Wendell Holmes Sr. One of our favorite stories is that of two boys talking to one another with a dog sitting nearby. One boy says to the other, “I taught my dog how to whistle.” Skeptically, the other [[...]
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