The Good and Bad of the Medicare Physician Fee Schedule Proposal

July 14, 2021Garrett SchmittNo CommentsMedicare Physician Fee Schedule, MSSP, PFS, physicians, Telehealth

Physician groups are calling the Medicare Physician Fee Schedule proposed rule a mixed bag for practices, which now face a potential reduction in physician reimbursement next year, among other changes. “The proposed 2022 Medicare Physician Fee Schedule (PFS) represents a mixed bag for physician practices,” Anders Gilberg, senior vice president of government affairs at the…

Rising costs, low-value care linked to hospital-employed physicians, studies show

May 5, 2021Garrett SchmittNo CommentsAHA, CMS, group practice, healthcare costs, HHS, low-value care, Medicare claims, Medicare Payment Advisory Commission, physician acquisition, physician employment, physician-hospital integration, physicians, private practice, vertical integration

Healthcare costs and low-value care tend to increase when hospitals acquire physicians, new studies published in Health Affairs show. The number of diagnostic and lab tests performed in hospitals versus unaffiliated facilities increased after doctors were acquired by hospitals, which inflated healthcare costs, according to an analysis of 30 million imaging procedures and 341 million…

AMA: Most physicians now work outside of private practice

May 5, 2021Garrett SchmittNo Commentsacquisitions, AMA, mergers, physician employment, physician practices, physicians, private equity, private practice, student debt

For the first time, most physicians worked outside of physician-owned practices in 2020, as doctors continue to gravitate toward employment by hospitals and other organizations, according to a new American Medical Association survey. The trade group’s latest Physician Practice Benchmark Survey found that 49.1% of patient care physicians worked in physician-owned practices in 2020, a…

Want to Increase Docs’ ACO Participation? Start With an ‘Upside Only’ Arrangement

February 14, 2020Garrett SchmittNo Commentsphysicians

Want doctors to get into alternative payment model arrangements like accountable care organizations (ACOs)? Start with “baby steps” like giving them only upside risk, Greg Griggs, executive vice president and CEO of the North Carolina Academy of Family Physicians, in Raleigh, said here at the National Health Policy Conference. “I think there is becoming more…

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