Research published in the Journal of the American Medical Association looks at the effects of switching to a capitated reimbursement method for primary care physicians.
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A study in Health Affairs tracks the impact of readmission penalties on surgery hospitalizations.
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Third-party administrator Sedgwick is acquiring York Risk Services, combining two of the larger TPAs.
https://www.businessinsurance.com/article/20190708/NEWS08/912329470/Sedgwick-Claims-Management-Services-acquires-third-party-administrator-York-Risk?_hsenc=p2ANqtz-8OD3xeYiuKiS8TgbTwJRgQNAxFN7-zSmmV_dDnk3909Yat3Mqa790JYn3meYiuWmeeK1pCO6WfoC-SoXYo3oLLkEzM6EIid8lgSRshdcE2Wbt1Gs0&_hsmi=74594420New research suggests that many serious malpractice claims derive from diagnostic errors.
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A Merritt Hawkins survey focuses on incentives used to recruit physicians and other clinicians.
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Wayfair, a general revenue cycle information technology company, has acquired Digitize Ai, which claims to have an improved process for prior authorization.
https://www.beckershospitalreview.com/artificial-intelligence/waystar-acquires-ai-tech-firm-to-streamline-prior-authorization.html?oly_enc_id=4013B4524489F1YGNS Healthcare leads a precision strike on investor wallets, securing $23 million in new financing for its "precision" medicine software that supposedly gets the right treatment to the right patient.
https://www.fiercehealthcare.com/tech/cigna-ventures-leads-23m-funding-round-precision-medicine-company-gns-healthcare?mkt_tok=eyJpIjoiWXpJMlpUVmpZV1JtTXpCaiIsInQiOiJKd1ZWR3Fja0FyN0pLWHQ1RXZKcVhrM2JJNUpuSk5SaEQ0WUpPdkpBOEZJckFrVlRNMnJNdjA0N0poYVo4TXJrZTFnQXNQVXh5SGF6Q3JaXC9xSVV0XC82ZXdlZU9MUk1pT1dkNnpldzlOMkRtS3JwSnZhZVAyM2pYVEt6d2NvemZLIn0%3D&mrkid=635530A new study finds that using private health plans for Medicaid benefit provision improves quality but doesn't lower spending.
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I know it's shocking, just shocking, but the RVS, basically created by doctors, may overstate the time that various medical tasks take.
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Research in a National Bureau of Economic Research paper explores how physicians behave as patients.
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Net Health fishes up the best deal for Optima Healthcare Solutions, combining two providers of software for various providers, including specialty services and the post-acute care market.
https://www.nethealth.com/net-health-to-acquire-optima-healthcare-solutions-expanding-its-purpose-built-electronic-medical-record-platform/An article in Health Affairs describes the negative effects that EHRs have on physician work satisfaction.
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About this Blog
The Healthy Skeptic is a website about the health care system, and is written by Kevin Roche, who has many years of experience working in the health industry. Mr. Roche is available to assist health care companies through consulting arrangements through Roche Consulting, LLC and may be reached at khroche@healthy-skeptic.com.