ICD-10 turns 1: Was it so bad?

http://www.healthcaredive.com/news/icd-10-turns-1-was-it-so-bad/427115/

R51: headache. Gearing up for the switch from ICD-9 to ICD-10 last October, many providers expected nothing but headaches. The new system increased the number of diagnostic codes from around 13,000 to about 68,000, requiring clinicians to sift through highly specified conditions — and some unusual ones, such as W61-62XD: struck by duck.

But after a year of using the ICD-10 — and the impending end of a one-year grace period that ensured providers wouldn’t be denied Medicare Part B claims as long as they used a code from the correct family — most physicians say the implementation process went better than expected.

“The fear that this was really going to impact us financially because of the potential inability to process the new codes really never transpired,” says Michael Munger, a family physician with Saint Luke’s Medical Group in Overland Park, KS, and president-elect of the American Academy of Family Physicians.

In fact, the error rate for claims tracked by the AAFP was the same this year as it was for ICD-9 — 10%. The fact that commercial insurers didn’t have the grace period bodes well for the loss of flexibilities, since doctors should be used to being more specified in their claims.

Doctors Get Innovative To Escape Insurer-Driven ‘Hamster Wheel’ Model Of Care

https://ww2.kqed.org/futureofyou/2016/08/11/dropout-docs-primary-care-physicians-exit-the-system-to-go-it-alone/

She’s one of a growing number of doctors who have cut loose from what she calls the “assembly-line, volume approach” and is now using a health care delivery model called direct primary care. She has scaled back the number of patients she sees and takes longer with the ones she does. She doesn’t take insurance and deals mostly in cash; she charges each time she sees a patient, but most direct primary care doctors charge a monthly fee for unlimited visits. In her previous practice, (Lorraine) Page says, the pressure to see more patients in less time wore her down, as did the need for an army of support staff to process the copious paperwork required by insurance companies.

 

The Tangled Hospital-Physician Relationship

http://healthaffairs.org/blog/2016/05/09/the-tangled-hospital-physician-relationship/

Blog_healthcare management

How two hospital operators are bucking the rural health crisis

http://www.healthcaredive.com/news/how-two-hospital-operators-are-bucking-the-rural-health-crisis/399907/

Embracing the shift to outpatient may be the key to survival for rural providers

Hill Physicians join Anthem ACO in California in push toward PPOs

Hill Physicians join Anthem ACO in California in push toward PPOs

California digital health investing

Hill Physicians’ founders Steve McDermott, Darryl Cardoza cash out

http://www.bizjournals.com/sanfrancisco/blog/2014/09/hill-physicians-founders-sell-stakes.html?page=all

DarrylCardozaPriMed Management

PwC: Fewer Hospitals Acquiring Physician Groups

http://www.beckershospitalreview.com/hospital-physician-relationships/pwc-fewer-hospitals-acquiring-physician-groups.html

Hospital-Physician Relationships