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Posts Tagged ‘ CMS ’

The High Costs of Hospitalists

1
October 9, 2017

Hospitalists, doctors who only see patients in the hospital, almost always in a shift work model, are the fastest growing “specialty” in medicine, from nothing about 15 years ago to about 50,000 today. There were some studies that I won’t review much here that showed some benefits from hospitalists compared to...
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CMS PPACA PCMH in FQHCs saved no $

1
September 2, 2015

Let me translate the title. The Center for Medicare and Medicaid Services was directed by the Patient Protection and Affordable Care Act (Obamacare) to implement the Patient Centered Medical Home model in 500 Federally Qualified Health Centers. It didn’t work. The rationale was the usual mixture of “care coordination,” primary care...
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A Glimpse of a Bleak Future for Primary Care Access

1
August 17, 2014

First, we are all so thankful that our family physician colleague Kent Brantly seems to be recovering from his Ebola infection. When his family left Liberia, they had to leave all of their possessions behind, which should have been burned by now. If you would like to donate to help him...
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CMS Billing Rules Subjugate Family Medicine – Incentives to Over-Test

0
July 14, 2014

I’m continuing my series on the reasons there are so few family physicians in the U.S. and why the Center for Medicare and Medicaid Services (CMS) is a root cause of this deficit. My conclusions are based on recent research on the topic. This specific issue is a detail that actually...
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CMS Billing Rules Subjugate Family Medicine – Payment for Complexity and Time

0
July 6, 2014

I’m continuing my series on the reasons there are so few family physicians in the U.S. and why the Center for Medicare and Medicaid Services (CMS) is a root cause of this deficit. My conclusions are based on recent research on the topic. If you hired an accountant to do your...
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CMS Billing Rules Subjugate Family Medicine – No Payment for Convenient Care

1
June 23, 2014

I’m continuing my series on the reasons there are so few family physicians in the U.S. and why the Center for Medicare and Medicaid Services (CMS) is a root cause of this deficit. My conclusions are based on recent research on the topic. Have you ever wondered why doctors tell you...
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CMS Billing Rules Subjugate Family Medicine – Inadequate Payment for Complex Care

0
June 16, 2014

I’m continuing my series on the reasons there are so few family physicians in the U.S. and why the Center for Medicare and Medicaid Services (CMS) is a root cause of this deficit. My conclusions are based on recent research on the topic. In my last post, I showed how the...
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CMS Billing Rules Subjugate Family Medicine – The AMA and Comprehensive Primary Care

3
June 9, 2014

For the next several weeks, I’ll try to explain to non-physician readers why the Center for Medicare and Medicaid Services (CMS) billing rules create the horrid lack of primary care patients experience when they simply want to find a personal physician. My conclusions are based on recent research on the topic....
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The Cost-Effectiveness of Family Physicians – Complexity

0
June 16, 2013

We continue to examine the results of our recently published study on the ways family physicians deliver better care at a lower cost than a multi-ologist approach. The next concept is complexity. Family physicians are more comfortable with complexity than any other physicians, especially in their ability to negotiate the diagnostic...
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Dr. Young is Back from Washington (Baltimore, actually)

0
January 29, 2012

A bunch of people have asked me what happened at the CMS Innovation Advisor meeting. I’ll share a few thoughts here, but I’ll write in generalizations out of respect to the CMS leaders and my fellow advisors. In no particular order of importance: The CMS people – or actually CMMI (Center...
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