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Payment and coverage expansion reforms to the health care system won’t succeed unless physician-patient relations can improve, the American College of Physicians concluded in a new policy paper.
“Physicians and patients are challenged by seemingly relentless intrusions into their relationship,” said Bob Doherty, ACP’s senior vice president of governmental affairs and public policy. “None of us want our doctors to be rushed from patient to patient, from task to task. If this is the system we have, then the system needs to change.” He spoke during a Feb. 20 conference call to assess the report’s findings.
In some respects, it’s the best of times for health care in the U.S., with more people set to obtain coverage starting in 2014 under the Affordable Care Act, Doherty said. However, “resistance in many states to expanding Medicaid and setting up exchanges [is] affecting the poor,” he said.
In its paper, the ACP called for a renewed commitment to implement cov ...
Some of the biggest brand names in health care delivery are deciding that it’s not enough to be a prestigious place in the distance.
Places like Mayo Clinic in Rochester, Minn., Cleveland Clinic and MD Anderson Cancer Center in Houston have established affiliate programs that put their names on systems far afield from their main campuses. Duke University Health System in Durham, N.C., is working with LifePoint Hospitals, a large chain of for-profit community hospitals based in Brentwood, Tenn., to set up joint ventures to buy hospitals. Generally, the prominent organizations are partnering with local institutions that are established, but are often not considered the biggest or most prestigious names in their home area.
The motivation by both sides in these deals is stronger branding as a way to increase revenue, marketing experts say. For the name-brand institutions, affiliating with, or buying, a local hospital can formalize existing clinical relationships and allow them to c ...
As part of what Humana CEO Michael McCallister described as his company’s plans to push an integrated care delivery model “as far and as fast as we can take it,” the insurer said it wanted to satisfy investors by showing its progress in some way.
Starting with its fourth-quarter 2012 earnings report delivered Feb. 4, Humana listed for investors the breakdown of how it pays its 180,000 contracted and employed “primary care providers,” including physicians. In its report, the Louisville, Ky.-based health insurer broke down its primary care population by the number of doctors paid by capitation, those who are paid by capitation but have no downside risk, and those paid by traditional forms of payment, such as fee for service.
Regina Nethery, Humana’s vice president of investor relations, said the decision was made to share the data with investors because the company is still fairly new in its efforts to implement an integrated care delivery model that includes putting mo ...