How far behind the curve are practicing physicians when it comes to MACRA (the Medicare Access and CHIP Reauthorization Act of 2015)? Honestly, pretty far behind.
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Some 44 percent of U.S. doctors say their state hasn’t done a good job implementing telehealth, while only 15 percent feel their state has done well or very well.
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Maintaining patient satisfaction is very important in today’s healthcare environment, given how new quality standards associated with HCAHPS surveys can directly affect Medicare reimbursement levels for providers.
A recent federal court ruling in Texas highlights a growing trend of private insurers scrutinizing "out-of-network" providers that waive patients' cost-sharing amounts.
Editor’s note: Learn more in Chapter 11 of the PIRG on out-of-network providers at www.apma.org/PIRG.
Physicians looking to negotiate reimbursement rates with payers often find themselves dealing with take-it-or-leave-it offers, leaving them feeling frustrated and powerless.
Editor’s note: View the 2016 CAC-PIAC presentation by Kelli Back, Esq. on payer contracts.
Implementing interoperable health IT infrastructure and a staffing model that aligns with value-based care requirements are key to successfully participating in an alternative payment model, Marjie Harbrecht, MD, a Medical Group Management Association (MGMA) consultant, recently told RevCycleIntelligence.com.
Seventy-five percent of physicians say frequent payer denials are an ongoing problem at their practices, according to the Medical Economics Payer Scorecard.
If Washington regulators want to make the healthcare system more efficient for both doctors and patients, they should take a hard look at the red tape wrapped around physicians, one economist argues.
