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Posts Tagged ‘ insurance companies ’

CMS Billing Rules Subjugate Family Medicine – Incentives to Over-Test

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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

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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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Medicare Waste on Medicare Advantage

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July 29, 2012

A report by the Government Accounting Office (GAO) found that the Medicare Advantage option wastes $8 billion per year. This option was started under the 2nd Bush administration under the belief that an HMO-like product operating as a for-profit insurance option could lower costs through care management, wellness, and prevention. Medicare...
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We Need a New Healthcare Philanthropy

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June 10, 2012

I’m subscribed to a service that sends out daily emails about philanthropic funding in healthcare. It’s full of regional and national foundations who, with the best of intentions, are trying to make our healthcare system better. Most of the funding falls under two categories: 1) infrastructure building such as new wings...
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More Insurance Company Ignorance

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July 9, 2011

I received one of those politely worded letters from a major insurance company recently informing me of how it thought I was doing caring for one of my patients. It includes warm language such as “We value our relationship with you,” though their medical director who signed this letter has never...
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The Stupid Insurance Companies Continue to Undermine Primary Care

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April 23, 2011

A colleague in private practice, Dr. S of Plano, TX, sent me the following note he gave me permission to share: Since the beginning of 2011, we’ve observed a disturbing trend among our patients’ new insurance plans. At least two major payors (Aetna and Cigna) are now offering $0 or reduced...
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