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N.Y. IPA struggles to land clients

By Andis Robeznieks
August 23, 2010
"Healthcare could look like this." That's the trademarked slogan used on the website for the Greater Rochester (N.Y.) Independent Practice Association. Some might argue that the slogan should be "Healthcare could look like this—if only the Greater Rochester Independent Practice Association...
... FULL STORY

Standardization of insurance claims is seen as easy route to savings

By Melanie Evans
May 24, 2010
One recently published estimate that said medical groups could save $7 billion if insurers all used the same claim form suggests one quick source of savings as federal officials try to squeeze health spending, says one major physician trade group.
... FULL STORY

Physician ratings under scrutiny

By Rebecca Vesely
March 22, 2010
Physicians are pointing to a new study published last week as further evidence that the methods health plans use to rate physicians based on cost are deeply flawed. “This is a complete sham,” says Mario Motta, M.D., a cardiologist and president of the Massachusetts Medical Society, of...
... FULL STORY

HOFer taught doctors the business

By Ed Finkel
March 22, 2010
Successful physician business executives have Austin Ross to thank for their financial acumen. The famed medical administrator and educator was one of the first to recognize the need to teach basic business and management skills to doctors. Ross was inducted this month into the Health Care Hall of...
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Docs spend 21 days a year on claims tasks: reports

May 26, 2009
Added up, new research calculates that a physician may spend nearly three weeks a year on health plan-related tasks. While how much of a medical practice’s administrative overhead can be classified as “waste” is still open to debate, two new Health Affairs reports attempted to put a price...
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FTC offers clearer guidance on clinical integration agreements

By Gregg Blesch
April 27, 2009
A new Federal Trade Commission advisory opinion may offer the best guide so far to independent docs who want to integrate clinically and negotiate collectively with payers without running afoul of antitrust law, an area in which the commission has rejected providers’ pleas for explicit guidance.
... FULL STORY

Taking a swipe at conformity

By Andis Robeznieks
March 23, 2009
If its campaign to get the healthcare industry to use the same swipe-card or bar-code technology that other industries have been using for decades is successful, the Medical Group Management Association calculates that it will knock about $1 billion off the nation’s healthcare bill each year.
... FULL STORY

Supreme Court rejection ends doc group's fight

March 09, 2009
The U.S. Supreme Court killed the all-but-dead hopes of many rooting for a Texas physician association that fought the Federal Trade Commission’s conclusion that its role in coordinating contract offers between members and payers amounted to illegal price-fixing.
... FULL STORY

FTC keeps wary eye on network arrangements

January 12, 2009
The American Medical Association recently complained to a House committee that the government “casts an overly suspicious eye on physician collaboration through network arrangements.” The Federal Trade Commission late last month signaled yet again that it’s suspicious indeed.
... FULL STORY

AHIP to advance medical-home model ...

July 07, 2008
The board of directors of America’s Health Insurance Plans said that it will advance a medical-home model that emphasizes comprehensive care tailored to individual needs, care coordination among providers, adoption of health IT, and outcome measures to improve quality and affordability of care.
... FULL STORY

FTC gets industry backing on price-fixing decision

June 09, 2008
With a fresh federal appeals court victory on the subject, the Federal Trade Commission is exploring how the benefits of clinical integration among providers weigh against the government’s obligation to bust collaboration that crosses antitrust lines.
... FULL STORY

Evidence-based medicine can be harmful to patients

By Barbara Kirchheimer
May 19, 2008
A report, The Hazards of Harassing Doctors: Regulation and Reaction in Trans-Atlantic Healthcare, released in March by the Center for Medicine in the Public Interest, lambastes evidence-based medicine—and “guideline-driven” medicine in general—as harmful to patients' well-being, medical...
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Charter gives docs hope for fair rankings by payers

May 05, 2008
Providers are cautiously optimistic that an accord announced last month will lead to more fair and uniform standards on how physicians are ranked by health plans.
... FULL STORY

Profitable doctor-owned Medicare HMO expands

By Jay Greene
April 21, 2008
By cutting out the “big daddy HMOs” from their profitable middleman position in Medicare Advantage plans, Charles Willey, M.D., chief medical officer with Essence Healthcare, says he believes physicians can provide higher quality care to seniors at lower costs. “We have the richest benefit for...
... FULL STORY

Quality group to oversee Cigna doc-ranking program

March 24, 2008
A prominent healthcare quality oversight group is taking center stage in the evolution of physician ranking programs.
... FULL STORY

Physicians call out insurers on low pay, poor service

By Jay Greene with Gregg Blesch
February 19, 2008
Six Houston-area health insurers received poor marks on a physician satisfaction survey. Respondents say the companies have failed patients, employers and doctors on patient-care, payment and customer service issues. “I was surprised how bad it is. All insurers were rated very low by doctors in...
... FULL STORY

N.Y. crafts doc-ranking pact with six insurers

December 03, 2007
Six leading insurers have reached agreements with New York Attorney General Andrew Cuomo on physician-ranking programs, in an arrangement that could serve as a framework nationally.
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Doc-owned HMO aims to build on past success

By Jay Greene
October 01, 2007
A group of physicians in Florida have banded together to acquire and operate a Medicare HMO that they hope will be user-friendly for physicians and patients and at the same time manage care effectively and efficiently. Heard it before? Physicians providing high-quality care to patients while...
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Lawyers surprised by Ill. conspiracy allegations

By Gregg Blesch
August 06, 2007
Illinois Attorney General Lisa Madigan recently hit two neighboring east-central Illinois physicians groups with an antitrust lawsuit alleging they conspired to boycott new Medicaid patients, intending to squeeze the state for higher and faster payments. The lawsuit against Christie Clinic and...
... FULL STORY



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