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Practice Management


Photo of Harold Miller speaking at a Washington forum sponsored by the Robert Wood Johnson Foundation
Harold Miller, president and CEO of the Network for Regional Healthcare Improvement, tells listeners at a Washington forum about payment system options that offer health care providers an incentive to eliminate unnecessary services, as well as the flexibility to decide what services are most appropriate.

Payment Expert Links Medical Home to Reducing Hospital Readmissions

Physician Pay Should Reflect Savings Gained by Avoiding Excessive Procedures

(06/24/2009)  --  Patient-centered medical homes, or PCMHs, should take responsibility for reducing hospital readmissions to demonstrate the true value of the medical home and create a clear business case for adequately funding the PCMH model. That's according to Harold Miller, president and CEO of the Network for Regional Healthcare Improvement and executive director of the Center for Healthcare Quality and Payment Reform. Miller spoke during a June 10 forum on payment reform sponsored by the Robert Wood Johnson Foundation. More


Physicians Pay Steep Price to Contract With Health Plans

Annual Costs Estimated as High as $31 Billion

(06/02/2009)  --  Physicians know all too well that dealing with the details required by health insurance plans takes time. Now, researchers have tallied up all those physician and staff hours spent on administrative tasks related to pharmaceutical formularies, prior authorizations, claims and billing, credentialing, and contracting, and they have assigned these services a hefty price tag. The researchers estimate the cost of such administrative tasks ranges from $23 billion to $31 billion annually. (Discuss this story on the AAFP News Now bulletin board.) More

Patient-Centered Medical Home

Explore AAFP's Comprehensive Medical Home Resources

(06/01/2009)  --  A new area on the Academy's Web site is open for business. Check out the patient-centered medical home, or PCMH, Web pages, which were created by the Academy to make family physicians' transition to the medical home as smooth as possible. More

Report Says Federal Government's Stimulus Funding Won't Cover EHR Costs

But Penalties for Noncompliance Could Prove Persuasive

(05/13/2009)  --  A report recently issued by the PricewaterhouseCoopers Health Research Institute concludes that government incentives intended to spur the use of health information technology are a "small carrot" when compared with the amount of money it will cost hospitals and physician practices to implement and maintain electronic health records, or EHRs, during the next five years. (Discuss this story on the AAFP News Now bulletin board.) More

TransforMED Evaluators Detail Initial Lessons From Demo Project

Massive Practice Change Harder Than Expected

(05/13/2009)  --  An independent evaluation team under contract with the Academy to analyze data from TransforMED's national demonstration project, or NDP, on the patient-centered medical home, or PCMH, took the unusual step of releasing a preliminary report with findings the team said were too important to keep under wraps. (Discuss this story on the AAFP News Now bulletin board.) More

Sam's Club Offers Prepackaged EHR Systems

(04/24/2009)  --  Physicians living in Virginia, Illinois and Georgia have a new online option when it comes to selecting an electronic health record, or EHR, system -- that is, if they are members of Sam's Club, a division of Wal-Mart Stores Inc., and are willing to consider a prepackaged assortment of products and services. (Discuss this story on the AAFP News Now bulletin board.) More

Health Insurance Giant Changes Physician Payment Rules

AAFP, Others Slam UnitedHealthcare's Decision

(04/09/2009)  --  On April 1, UnitedHealthcare, or UHC, one of the nation's largest health insurance plans, implemented a new fee schedule methodology for its physician contracts that bases physician payment on Medicare's 2008 resource-based relative value units, or RVUs. The move has sparked protest from the AAFP and four other medical specialty groups. (Discuss this story on the AAFP News Now bulletin board.) More

CMS Ramps Up RAC Program

AAFP Responds With Guide for Physicians

(03/12/2009)  --  CMS is moving forward with its Recovery Audit Contractors, or RAC, program, which seeks to recover Medicare overpayments to physicians and other providers. In response, the AAFP has compiled an online guide to help physicians better understand and cope with the program. More