Care Delivery

Emergency departments, particularly in rural areas, are strained by shortages of physicians and other providers, including nonemergency doctors and advanced practice providers, according to a new study published in the Annals of Emergency Medicine.
Jun 08, 2018 | Leadership
In a survey of 90 healthcare executives conducted by Lumeris, 27 percent of respondents said they’ll launch a Medicare Advantage plan in the next four years.
Jun 08, 2018 | Care Delivery
Between 2008 and 2016, NPs increased from 17.6 percent of providers in rural areas to 25.2 percent. In non-rural areas, the increase was smaller but still significant—with the share of NPs making up 23 percent of the providers in 2016, up from 15.9 percent in 2008.
Jun 06, 2018 | Care Delivery
Health insurance giant Anthem and nine of its state affiliates have filed a lawsuit against Sonoma West Medical Center in Sebastopol, California, alleging its toxicology program is fraudulently billing for tests other labs had been ordered to perform.
Jun 05, 2018 | Health IT
The price tag includes $292 million in cash and another $60 million in Teladoc stock. As part of the deal, Advance Medical co-founders Marc Subirats and Carlos Nueno will become executives within Teladoc and continue “to lead the Advance Medical business outside the U.S.”
Jun 04, 2018 | Care Delivery
Researchers, in a study published June 3 in the New England Journal of Medicine, reported women with early-stage invasive cancer could skip chemotherapy if they are at medium to low risk for recurrence—instead opting for hormone therapy after surgery.
Jun 01, 2018 | Care Delivery
Blue Cross Blue Shield of Texas will hold off on implementing its controversial approach to emergency room claims for 60 days after meeting with the state’s insurance commissioner. It was originally set to take effect June 4.
Jun 01, 2018 | Care Delivery
Pennsylvania’s Geisinger Health System has been hailed as one of the more forward-thinking providers when it comes to adopting value-based care and population health. But a recent statement in a financial report obtained by Axios shows it’s still looking for additional revenue from the fee-for-service model.
May 31, 2018 | Policy
The American Medical Association (AMA) released a report on May 31 detailing how “physician leadership” has led to progress fighting the epidemic of opioid abuse and addiction. Just two days earlier, however, a story published by the Daily Beast labeled the AMA as a main roadblock to Congress addressing the prescription of opioids.
May 29, 2018 | Care Delivery
Total community benefit spending increased from $15.3 billion in 2012 to $18.4 billion in 2015—a 20.14 percent jump in terms of the raw dollars and a 15 percent increase after adjusting for inflation.
May 25, 2018 | Policy
CMS had requested comments on allowing direct provider contracting (DPC) with Medicare beneficiaries in the form of the alternative payment model. Among major healthcare groups, the response was decidedly mixed, ranging from cautious optimism to telling CMS to focus on other payment reforms.
May 25, 2018 | Care Delivery
According to the Boston Globe, plaintiff Stephen Zappala, MD, said the pressure went as far as Steward representatives calling his patients and telling them their operations had to be performed at Steward-owned facilities even if Zappala had referred them elsewhere.
After months of sitting out of the flurry of mergers and acquisitions between insurers and providers, Anthem has made its first move by announcing it will acquire Aspire, the largest non-hospice, community-based palliative care provider in the U.S.
May 23, 2018 | Policy
The House approved legislation to allow terminally ill the “right to try” experimental drugs not yet approved by the FDA on a largely partisan vote, sending the bill to a supportive President Donald Trump.
May 22, 2018 | Care Delivery
Approximately 29.3 million Americans were uninsured in 2017—a slight but insignificant increase from the year before, according to the Centers for Disease Control and Prevention (CDC), but the uninsured rate did rise among states which rejected the expansion of Medicaid under the Affordable Care Act (ACA).
May 22, 2018 | Care Delivery
Of the 247 emergency room (ER) physicians who responded to the ACEP poll, only 6 percent said their department is “completely” prepared for surge capacity in the wake of a disaster or mass casualty incident.
Care Delivery, Leadership
May 22, 2018 | Care Delivery
A poll conducted by the Medical Group Management Association (MGMA) found most medical practice professionals aren’t aware of the direct primary care (DPC) model where patients pay a flat fee in exchange for easier access to their primary care doctor.
Care Delivery
May 18, 2018 | Policy
Direct federal funding for abortions has been prohibited by Congress for decades, but conservative lawmakers have sought to deny all federal funding to groups like Planned Parenthood for having any involvement in abortion services.
Policy, Care Delivery
May 17, 2018 | Policy
Vermont has become the first state to pass a law to allow prescription drugs to be imported from Canada, but the plan still has to be approved by HHS—a tall order considering HHS Secretary Alex Azar’s comments that pharmaceutical imports are a “gimmick” and may be unsafe.
Policy, Care Delivery
Primary care physicians and non-physician practitioners have seen their compensation rise more rapidly than specialists, which the Medical Group Management Association (MGMA) said is evidence of the worsening shortage of primary care doctors.
Healthcare Economics & Policy, Care Delivery
May 16, 2018 | Care Delivery
A judge in Riverside County, California, ruled the state legislature violated the law by passing the state’s aid-in-dying act during a special session limited to healthcare funding, giving the state’s attorney general five days to respond or else it would again be illegal for terminal patients to be given life-ending drugs by physicians.
Care Delivery, Policy