Tony has a strong expertise in the healthcare and managed care/payer arena. He currently manages the workflow of Oncology Business Management, a business trade journal geared towards community oncologists/hematologists.
Alternative payment methods in cancer care are front and center in a Medicare initiative to have 85% of all fee-for-service payments tied to quality or value by 2016, and 90% by 2018.
4 years ago
With a March 31 deadline looming for the 114th Congress to either patch or repeal the sustainable growth rate (SGR) formula, the Health Subcommittee of the US House of Representatives' Energy and Commerce Committee will hold a hearing to discuss the future of the fundamentally flawed formula used to set Medicare physician payments.
4 years ago
Only 10% of current medical students aspire to open up shop as a solo practitioner-a 50% drop since 2008. Last year, 17% of students surveyed said that solo practice was a consideration. On the other hand, those students who anticipate seeking employment with a large group practice or hospital has risen to 73%, as compared with 70% last year.
4 years ago
ASCO members who need hands-on assistance in practice management, quality care assessment and improvement, and efficiency and business intelligence will be able to contact a soon to be established clinical affairs department at the organization.
4 years ago
To help clinicians rethink and redesign their practices by moving from a model that is driven by quantity of care to one focused on patients' health outcomes, the Centers for Medicare & Medicaid Services (CMS) will earmark $840 million to improve health outcomes and reduce unnecessary hospitalization and other overutilization of services.
4 years ago
This past Friday, the Centers for Medicare and Medicaid Services (CMS) released nearly 3,000 pages of regulations finalizing 2015 payment rates for various providers and services in the Medicare program, including physicians.
4 years ago
Nearly two-thirds of patients diagnosed with colorectal cancer report experiencing financial burden during their treatment, according to a study from the University of Michigan.
4 years ago
Even as more hospitals seek to acquire medical groups and physician practices, this consolidation leads to higher expenditures through greater use of hospital-based ambulatory services, according to a recent study from the University of California, Berkeley School of Public Health.
4 years ago
Most privately insured Americans between the ages of 18 and 64 are satisfied with their health care plans, but for those enrolled in high-deductible health plans (HDHPs), a different story emerges.
4 years ago
Spending on 47 currently available oral oncologic drugs has increased from $940 million in the first quarter of 2006 to $1.4 billion in the third quarter of 2011, according to results of a study by Rena M. Conti, PhD, and colleagues at the University of Chicago.
4 years ago
Although the ICD-10 launch was moved to October 1, 2015, vendors and health plans look to be making some progress on the switchover. The same can't be said for physician providers, however.
4 years ago
Does Medicare coverage for patients with cancer match up to what they actually want covered? There appears to be a mismatch between covered benefits and beneficiary preferences that involves quality of life and financial burden of care, according to a study from Duke University.
4 years ago
Increasingly, payers and patients are demanding that hospital-based oncology practices take a patient-centered approach in delivering care, with a specific focus on offering some form of financial assistance services to their patients, according to findings from the Association of Community Cancer Centers' "2014 Trends in Cancer Programs" survey.
4 years ago
Don't look now but a consensus that bundled payments is the best payment reform strategy is emerging, and it's expected that many pilot and demonstration projects will start soon.
4 years ago
A report issued by the Council for Affordable Quality Healthcare (CAQH) suggests that if providers and health plans converted fully from manual to electronic transactions, it could result in an additional estimated savings of $8.1 billion for the healthcare industry.
4 years ago
Medicaid patients in states that pay more for office visits had an increased likelihood of being screened for cancer, according to results of a study published in CANCER.
4 years ago
How much physicians get paid is increasingly determined by a payment formula that penalizes doctors whose patients are more expensive-even when those higher costs stem from services that other doctors perform says a new report from the Center for Healthcare Quality and Payment Reform.
4 years ago
Although the Affordable Care Act (ACA) made accessibility to health insurance easier, consumers are finding themselves shouldering greater out-of-pocket costs in the form of copayments and deductibles for the care that they receive. Physicians are also feeling the need to collect more fees from more of their patients.
4 years ago
Starting in January 2015, Medicare will begin paying physicians for the care coordination they provide beneficiaries with chronic conditions.
5 years ago
Patients with Medicaid insurance and those without insurance were more likely to present with distant disease than patients with private insurance, according to results presented in the Journal of Clinical Oncology.
5 years ago
A multipractice oncology medical home model, the Michigan Oncology Medical Home Demonstration Project (MOMHDP), reported preliminary first-year results that tallied an estimated savings per patient of $550.33, according to an abstract in the Journal of Oncology Practice.
5 years ago
A Florida accountable care organization (ACO) is reporting $22 million in savings during its first year, with a shared savings of $11 million.
5 years ago
The Centers for Medicare & Medicaid Services (CMS) took down its Web site that verifies payments from pharmaceutical companies to physicians, after at least 1 doctor had payments attributed to him that were actually made to someone else.
5 years ago
Co-management agreements between hospitals and medical practices can be mutually beneficial to both parties, but proper execution is required to realize the benefits.
5 years ago
A regional bundled payment system has hit a roadblock in California, according to a study in Health Affairs. The program failed to meet its goals, succumbed to recruitment challenges, faced regulatory uncertainty, and sputtered under administrative burdens.
5 years ago
The US Department of Health and Human Services has finalized Oct. 1, 2015, as the new compliance date for providers and payers to transition to ICD-10.
5 years ago
A new health policy brief issued by Health Affairs and the Robert Wood Johnson Foundation explains the origin of these differential payments and the debate over approaches that have been proposed for developing so called "site neutral" payments.
5 years ago
Having financial counselors on staff is becoming a new reality for oncology practices as patients are responsible for out-of-pocket costs and more are participating in health insurance exchanges, says an article in Healthcare Finance News.
5 years ago
It looks like e-prescribing through the use of electronic health records (EHRs) is here to stay according to findings from the July 2014 "ONC Data Brief," issued by The Office of the National Coordinator for Health Information Technology.
5 years ago
Many specialists are balking at what they say are onerous new rules to get recertified, warning the demands will force some physicians out of practice at a time when the nation faces a shortage.
5 years ago
As the use of electronic patient portals grows, a new study examines the use of these portals by cancer patients, extending the doctor-patient relationship to new boundaries.
5 years ago
A pilot program that paid oncologists upfront for the patient's full treatment program regardless of the drugs administered resulted in a 34% reduction in medical costs.
5 years ago
With the uncertainty that accompanies health reform, a safe and secure alignment that integrates oncologists with a hospital or academic medical center can be seductive.
5 years ago
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