A paper from the National Bureau of Economic Research explores the extent to which medical malpractice liability may affect health care quality, finding only a minor relationship.
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According to a Medical Economics survey, the primary concerns among physicians are reimbursement, paperwork, health care reform and outside interference with their practice decisions and many are frustrated by health information technology systems.
http://www.pehub.com/2014/01/health-catalyst-nabs-41-mln/A Wall Street Journal article discusses the reaction to the Veteran's Administration decision to let nurse practitioners treat patients without physician supervision, which many doctors oppose, largely in a bid to protect their turf.
http://online.wsj.com/news/articles/SB10001424052702304856504579340603947983912?mg=reno64-wsj&url=http%3A%2F%2Fonline.wsj.com%2Farticle%2FSB10001424052702304856504579340603947983912.htmlA perspective in the New England Journal of Medicine points out that although the Medicare physician value-based purchasing program starts this year, doctors generally are unprepared and unengaged and there are more issues with this program than the comparable one for hospitals, including a lack of predecessor programs, sample size and measure issues and reward/penalty design.
http://www.nejm.org/doi/full/10.1056/NEJMp1311957HHS has announced that it will begin releasing physician level utilization data on a case-by-case basis. This is a huge development that will allow the identification of physician practice patterns and an understanding of which doctors may be engaging in inappropriate overuse.
http://www.modernhealthcare.com/article/20140114/NEWS/301149951?AllowView=VDl3UXk1TzRDL0NCbkJiYkY0M3hlMEtvaTBVZEQrYz0=&utm_source=link-20140114-NEWS-301149951&utm_medium=email&utm_campaign=hits&utm_name=topThe Physicians Foundation has identified five key areas affecting doctors in 2014, including monopolization by payers and health systems, regulatory burdens, confusion due to health reform, and HIT not fulfilling its promise.
http://www.physiciansfoundation.org/news/the-physicians-foundation-releases-2014-watch-listA Kaiser Family Foundation brief finds that Medicare patients continue to have generally good access to physicians.
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The Congressional Budget Office has estimated that the current cost over the next ten years of repealing the SGR physician payment formula and using a zero update during that time is $116 billion and replacing it with a .5% annual update is $136 billion. This cost is down substantially from the $271 billion repeal cost estimated a couple of years ago.
http://www.cbo.gov/sites/default/files/cbofiles/attachments/2013%20SGR%20Options%20-%20Final%20Rule.pdfAn article in Health Affairs estimates that demand for physician time could be significantly reduced with effective use of health information, helping ease a supposed coming surge in demand for…
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A paper from the National Bureau of Economics explores the role of patient and physician preferences in geographic variation in health spending.
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