AHIP, AMA, NAACOS Release Playbook for Value-Based Care
AHIP, the AMA and NAACOS released a playbook last week that provides the best practices for value-based care. It is based on experiences from physicians, value-based care entities and payers.
Health Execs Applaud Biden’s Final Rule on ‘Junk’ Health Insurance
The American Medical Association, the Association for Community Affiliated Plans and several other organizations came out in support of the Biden administration's new rule on short-term health plans. The rule limits the plans to shorter time periods and requires them to be clearer about what they do and do not cover.
With the Rise of AI, What IP Disputes in Healthcare Are Likely to Emerge?
Munck Wilson Mandala Partner Greg Howison shared his perspective on some of the legal ramifications around AI, IP, connected devices and the data they generate, in response to emailed questions.
How Can AI Support Value-Based Care?
During a panel discussion at CES 2024, health executives shared safe ways AI can be used to support value-based care. This includes automating tasks and predicting who needs additional care.
What Do Physicians Really Think of AI?
Nearly half of physicians are equally excited and concerned about the use of AI in their field, according to a new AMA survey. Those who felt optimistic about AI cited reduced administrative burden as the number one benefit they’re seeking. Patient privacy and the impact to the patient-physician relationship were the most common reasons physicians cited for having reservations about AI.
Why the AMA President Thinks Scope of Practice Expansions Are a ‘Terrible Idea’
To address the growing physician shortage, some people argue that the scope of practice should be expanded for skilled healthcare professionals like nurse practitioners and pharmacists. American Medical Association President Dr. Jesse Ehrenfeld said this is a “terrible idea.” He argued that throwing other professionals into physicians' roles will have poor ramifications of patient safety. In his view, the industry should focus on uplifting strong interprofessional care teams.
Fewer Physicians Are Practice Owners Than Ever & Medicare Rates Are to Blame, AMA Says
Over the past decade, a significant percentage of the country’s physicians have shifted from working in private practices (defined as those owned wholly by physicians) to working in bigger, health system-owned practices. The ability to negotiate higher payment rates with insurers when working at a larger practice is a crucial factor causing this trend, according to a new AMA analysis.
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A Personalized Approach to Medication Nonadherence
At the Abarca Forward conference earlier this year, George Van Antwerp, managing director at Deloitte, discussed how social determinants of health and a personalized member experience can improve medication adherence and health outcomes.
AMA: CMS’ 2023 Physician Fee Schedule Would Create ‘Financial Instability’
The 2023 Physician Fee Schedule conversion factor — which calculates how much a physician is reimbursed by Medicare for services — changed to $33.06, a $1.55 decrease from 2022 at $34.61. The American Medical Association strongly opposes the cuts.
Provider groups sue as surprise billing enforcement nears
The American Medical Association, American Hospital Association and other provider groups are suing the Department of Health and Human Services over a small but important detail of how it is implementing surprise billing legislation. They argue that the arbitration process for unresolved disputes currently favors insurers.
How CMS final rule will impact E/M coding and documentation requirements
Historically, providers had to meet certain criteria and address three key areas in the patient’s progress notes: patient history, physical exam and medical decision making. CMS has eliminated the history and exam components as required elements for billing purposes, so medical decision making is now the sole driver of the level-of-service.
At CES, experts say transparency key to ensuring AI tools work as intended
AI tools increasingly occupy a regulatory gray area in healthcare. For clinicians to assess whether they are trustworthy, they need transparency on how they work, said panelists at CES.
Maximize Revenue and Patient Care with Strategic Weight Loss Management
We will highlight Build My Health's revenue practice management tools, which could help physician practices add up to $250,000 to their practices.
AMA says CPT codes for coronavirus coming soon
The AMA is working to develop CPT codes for testing of COVID-19, which would allow physicians to bill for testing of the disease. The CDC also plans to add a new diagnosis code for COVID-19 in October.
A healthcare investment conference you need to attend
Time is running out to save on MedCity INVEST, the national conference highlighting investment trends in healthcare and spotlighting startups across health IT and life sciences.
American Medical Association reveals online education platform for physicians
Called the AMA Ed Hub, it includes educational information on topics like hypertension, oncology, professional well-being, patient care, ethics, health disparities and lifestyle behaviors.
CMS launches new value-based payment models for primary care in 2020
Dubbed the CMS Primary Cares Initiative, the program aims to reduce administrative burden for providers, while incentivizing clinicians to spend more time with patients and focus on preventive care.
UnitedHealthcare and AMA unite to address social determinants of health
The duo is supporting the creation of nearly two dozen new ICD-10 codes related to social determinants of health.