Industry Review: ABA Therapy and Why It Is One of the Best Therapy Options for Children With Autism
An opportunity for children to learn and grow in a supportive environment that prioritizes personalized treatment and transparent care
Healthcare Moves: A Monthly Summary of Hires and Layoffs
Here is a selection of recent executive hires, promotions and layoffs occurring across the healthcare industry.
Health Executives on Digital Transformation in Healthcare
Hear executives from Quantum Health, Surescripts, EY, Clinical Architecture and Personify Health share their views on digital transformation in healthcare.
How Healthcare Leaders Are Reacting to the Supreme Court Preserving Abortion Pill Access
The Supreme Court sided with the FDA and unanimously ruled to uphold access to abortion pill mifepristone. The decision quells worries about what it might look like if the Supreme Court sided with the physician group — many healthcare leaders feared that if the top court could overturn mifepristone’s FDA approval, the same could happen to other drugs.
Biden Administration Extends ACA Coverage Eligibility to DACA Recipients
Under a new final rule, eligible DACA recipients will be able to enroll in a Qualified Health Plan through the ACA Marketplace or through a Basic Health Program.
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.
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Transforming Patient Care: The Role of AI-Powered Assistants
The progress in artificial intelligence (AI) is reshaping patient care, across various dimensions, from facilitating faster discharge to curating treatment plans and suggesting lifestyle changes.
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.
Reducing Clinical and Staff Burnout with AI Automation
As technology advances, AI-powered tools will increasingly reduce the administrative burdens on healthcare providers.
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.
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.