Health Law & Policy

Physicians prevail over illegal insurance practicesThe courts sided with North Carolina physicians over claims that UnitedHealthcare wrongly and systematically denied medical claims. Perhaps the tides are changing?
EHRs' broken promiseElectronic health records (EHRs) promised to revolutionize healthcare delivery. In some respects, they have. But for physicians deluged by patients, EHRs have yet to fulfill their lofty promises and, in many cases, have added considerable strain to the daily workload of physicians. In this article, physicians discuss with Medical Economics how EHRs should—and must—improve to reach their potential.
Risk management strategies for patient portal useAs a result government incentives, new care standards, and the demands of a more technologically sophisticated society, use of patient portals is becoming increasingly commonplace. But physicians must be aware that the specific functionalities of the portal directly impact the risk management strategies that must be employed by the practice to protect itself from liability.

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Strategies to manage the claim denial processDenials may evoke dismay, frustration and even resentment for your business office, but they can actually be harnessed to improve the performance of your practice. It all starts with identifying the specific denial and the reasons for it.
Four trends changing the health insurance marketSeveral changes, from new payment models to the "Cadillac Tax," are impacting the health insurance market.
Improving continuity of careFor patients to receive high quality care, healthcare providers must find ways to work together and ensure continuity of care between primary care physicians, specialists and hospitals. For a variety of reasons, continuity of care has not worked as advertised, but many physicians have ideas for how this collaboration can be improved.

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The ICD-10 transition: Avoiding revenue disruptionsPhysicians can take steps, ranging from documentation training to taking out a line of credit, to keep their practice financially healthy during the transition to ICD-10
Despite ACA, Americans still skip cancer screeningsEven though cancer screenings have become more available because of the Affordable Care Act, the percentage of adults getting certain cancer screenings has not increased significantly since 2010.
POLL: Primary care physicians say MOC does not make them more effectivePhysicians are highly unsatisfied with the maintenance of certification process and question its efficacy, according to an exclusive reader poll
Exploring Precision Medicine's value
Exploring Precision Medicine's valueConsensus is building on the promise of genetic testing and other technological advances to help individualize testing, prevention and treatment for better outcomes.

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