Remove 2018 Remove Insurance Remove Patient Care
article thumbnail

Insurance companies vow to fix prior authorization process…again

Medical Economics

Key initiatives include standardizing electronic submissions, reducing claims subject to prior authorization, and ensuring continuity of care during insurance transitions. Physicians remain cautiously optimistic, recalling past commitments with limited progress, but hope for meaningful improvements in patient care.

article thumbnail

Independent physicians ‘are a viable alternative to hospitals' for patient outcomes, lower health care costs, study says

Medical Economics

The study highlights community-based care as a viable alternative to hospital systems, offering better performance on quality metrics and patient outcomes. Chicago's healthcare market is characterized by high hospital affiliation among specialists and significant insurer dominance, impacting care costs and delivery.

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

A real solution for the prior authorization problem

Medical Economics

Fact checked by: Todd Shryock Key Takeaways Prior authorizations often obstruct patient care, prioritizing cost-cutting over appropriate treatment, leading to frustration and resource diversion. They are now largely seen as barriers to care , tools to deny services and drive profits for large insurers.

article thumbnail

A Comprehensive Guide to Meaningful Use and EHR

Arkenea

physicians has surged from 18 percent in 2001 to 92 percent in 2018. The use of EHR is high because patients’ data is acquired easily for better care and to maintain standards for public health. It also consists information about demographics, medical insurance, and data acquired from wearable health devices.

article thumbnail

Fired ACIP members: RFK Jr. has ‘critically weakened’ U.S. vaccine program

Medical Economics

The directives are confusing not only for patients, but physicians, insurers and hospitals that are responsible for administering COVID-19 vaccines, said Paul A. The co-authors The former ACIP members and co-authors of the article were: Chair Helen Keipp Talbot, MD, MPH, an ACIP member from 2018 to 2023.

article thumbnail

The Infomercial Comes to The Wall Street Journal

Sensible Medicine

“The Centers for Medicare and Medicaid Services should make establishing payment codes for products involving women’s heart disease a priority to prompt private insurers to cover new service lines.” Insurers will be forced to raise rates to cover this new charge. What would I foresee as happening if CMS took action?

article thumbnail

Most U.S. Physicians, Burned Out, Favor A Flavor of Single Payer Health System

Health Populi

healthcare system and, thus, patient care. The loss of clinical autonomy, through strict utilization review, protocols, and heavy-handed health insurance interventions also contribute to doctors’ ill feelings and compromised productivity. That’s an idea on which doctors and patients can hug. The post Most U.S.