Owning a Health Plan is Not Enough

Posted on March 14, 2016 by henrykotula • Posted in Uncategorized • Tagged Clinical Standardization, Culture, Health Plan, Health System, Hospital, Physician, Physician Collaboration, Population Health Management, System-wide Goals, Value Based Health Care • Leave a comment

http://www.healthleadersmedia.com/health-plans/owning-health-plan-not-enough

Unless senior leaders encourage a culture of cooperation, provider-owned health plans will have a relationship with the provider network that is just as acrimonious as that of any outside payer, says SelectHealth’s CEO.

95% of physician visits reimbursed under fee-for-service: 6 findings

Posted on March 10, 2016 by henrykotula • Posted in Uncategorized • Tagged Capitation, Fee for Service Reimbursement, Full Risk, Physician • Leave a comment

http://www.beckershospitalreview.com/finance/95-of-physician-visits-reimbursed-under-fee-for-service-6-findings.html

OR Efficiencies

‘Time to Rethink What Healthcare Does, and Doesn’t Do,’ Says Lown Chief

Posted on March 8, 2016 by henrykotula • Posted in Uncategorized • Tagged ACA, Evidence-based Medicine, Financial Incentives, High Deductible Health Plans, Overuse, Physician, Right Care, Underuse • Leave a comment

http://www.healthleadersmedia.com/quality/time-rethink-what-healthcare-does-and-doesnt-do-says-lown-chief

Vikas Saini, MD

“There really needs to be an alliance among patients, families, and communities. At the end of the day, they get to decide what is the right care,” says Vikas Saini, MD, president of the Lown Institute.

The rise of ‘super regional systems’ and what it means for healthcare

Posted on February 28, 2016 by henrykotula • Posted in Uncategorized • Tagged Employed Physicians, Health System, Hospital, M&A, Market Consolidation, Med Group, Physician • Leave a comment

http://www.beckershospitalreview.com/hospital-transactions-and-valuation/the-rise-of-super-regional-systems-and-what-it-means-for-healthcare.html

Hospital Transactions and Valuations

Calls for Transparency on Bad Physicians Grow Louder

Posted on February 26, 2016 by henrykotula • Posted in Uncategorized • Tagged Clinical Transparency, Health Policy, Patient Safety, Physician, Physician Probation, Physician Probation Transparency, Quality of Care • Leave a comment

http://healthleadersmedia.com/content.cfm?topic=PHY&content_id=323611##

Whether physicians who are on probation should be required to disclose their probationary status to patients is a source of debate that’s getting hotter in California, where a patient advocacy group is testing the boundaries of transparency.

Coming this spring: CMS’ MIPS payment model details

Posted on February 24, 2016 by henrykotula • Posted in Uncategorized • Tagged Medicare, MIPS, Physician, Physician Reimbursement, Value Based Health Care • Leave a comment

http://www.healthcaredive.com/news/coming-this-spring-cms-mips-payment-model-details/414397/

The Side Effects of a Better-Informed Patient

Posted on February 22, 2016 by henrykotula • Posted in Uncategorized • Tagged Elective Procedures, Patient, Physician, Shared Decision Making, Value Based Health Care • Leave a comment

http://healthleadersmedia.com/page-2/QUA-325618/The-Side-Effects-of-a-BetterInformed-Patient

Talking To Your Doctor About Out-Of-Pocket Costs Can Save You Money

Posted on February 20, 2016 by henrykotula • Posted in Uncategorized • Tagged Employees Out of Pocket Costs, Office Visits, Out of Pocket Deductibles, Physician • Leave a comment

http://www.forbes.com/sites/peterubel/2016/02/17/talking-to-your-doctor-about-out-of-pocket-costs-can-save-you-money/#1158a8cd2953

Talking to Your Doctor About Out-of-Pocket Costs Can Save You Money Figure 2

Drug officials worried about doctors’ eagerness to prescribe heroin withdrawal drug for cash

Posted on February 16, 2016 by henrykotula • Posted in Uncategorized • Tagged Buprenorphine, DEA, Drug Rehab, Heroin Withdrawl, Opioid Pain Medication, Oxycodone, Percocet, Percodan, Physician • Leave a comment

http://www.post-gazette.com/local/region/2016/02/15/Drug-officials-worried-about-doctors-eagerness-to-prescribe-heroin-withdrawal-drug-for-cash/stories/201602150012

FDA Preps Cracksdown on Stem Cell Clinics Peddling Unproven Treatments

Posted on February 8, 2016 by henrykotula • Posted in Uncategorized • Tagged FDA, Physician, Public Health, Stem Cell Clinics, Unproven Treatments • Leave a comment

FDA moves to crack down on unproven stem cell therapies